Magnolia Primary Care Clinic | |
104 E Columbia Magnolia AR 71753-2436 | |
(870) 235-3550 | |
Not Available |
Full Name | Magnolia Primary Care Clinic |
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Speciality | Family Medicine |
Location | 104 E Columbia, Magnolia, Arkansas |
Authorized Official Name and Position | Brett Kinman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8702353212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Magnolia Primary Care Clinic Po Box 629 Magnolia AR 71754-0629 Ph: (870) 235-3550 | Magnolia Primary Care Clinic 104 E Columbia Magnolia AR 71753-2436 Ph: (870) 235-3550 |
NPI Number | 1023778115 |
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Provider Enumeration Date | 12/30/2021 |
Last Update Date | 02/24/2023 |
Medicare PECOS PAC ID | 2668899899 |
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Medicare Enrollment ID | O20200924002030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023778115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Lori E Cole |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407851439 PECOS PAC ID: 6103877931 Enrollment ID: I20050317000895 |
Provider Name | Fred Murphy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629181433 PECOS PAC ID: 5496844938 Enrollment ID: I20071211000264 |
Provider Name | Rebecca J. Pearce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942237771 PECOS PAC ID: 7113000308 Enrollment ID: I20080214000278 |
Provider Name | Roger D Scow |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1609862838 PECOS PAC ID: 1951486562 Enrollment ID: I20080306000552 |
Provider Name | Robert L Warner |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1508837006 PECOS PAC ID: 0446316350 Enrollment ID: I20090302000228 |
Provider Name | Edward L Weeks |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1548495765 PECOS PAC ID: 8224180211 Enrollment ID: I20090722000629 |
Provider Name | James K Rudder |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1639163959 PECOS PAC ID: 6800941154 Enrollment ID: I20090910000072 |
Provider Name | John E Alexander |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558544312 PECOS PAC ID: 8224162219 Enrollment ID: I20100812000542 |
Provider Name | Necie Mcateer |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1427397298 PECOS PAC ID: 8325272313 Enrollment ID: I20131007000149 |
Provider Name | Harriet J Alexander |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205097987 PECOS PAC ID: 1951603687 Enrollment ID: I20190604001087 |
Provider Name | Tyler Alan Neal |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821450479 PECOS PAC ID: 1254624547 Enrollment ID: I20190824000515 |
Provider Name | Christy Ann Wust |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710519673 PECOS PAC ID: 2264862986 Enrollment ID: I20200421002110 |
Provider Name | Anselm Tintinu |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1477878361 PECOS PAC ID: 8820231418 Enrollment ID: I20200506000075 |
Provider Name | Jennifer Leigh Biddle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902537764 PECOS PAC ID: 5799165908 Enrollment ID: I20220706002100 |
Provider Name | Tramon C Hunnicutt |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1407425283 PECOS PAC ID: 9032511597 Enrollment ID: I20230105000766 |
Provider Name | Jose Uvaldo Zamora |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1659487072 PECOS PAC ID: 3678465663 Enrollment ID: I20240105000860 |
Fred Y Murphy Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 N Dudney Rd, Ste C, Magnolia, AR 71753 Phone: 870-234-7101 Fax: 870-234-7717 | |
Southern Arkansas University Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E University, Suite 215, Magnolia, AR 71753 Phone: 870-235-5237 Fax: 870-235-5263 | |
Southern Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 E Stadium, Magnolia, AR 71753 Phone: 870-234-5995 Fax: 870-234-0278 | |
Magnolia Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Hospital Dr, Magnolia, AR 71753 Phone: 870-235-3000 | |
James Chambliss, Md, Pllc, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1327 N Washington, Magnolia, AR 71753 Phone: 870-235-1112 Fax: 870-235-1114 | |
Southern Arkansas University Sports Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 E University, Magnolia, AR 71753 Phone: 870-235-4142 Fax: 870-235-4988 |