Midway Medical Clinic | |
195 Hospital Dr Cherokee Village AR 72529-7314 | |
(870) 257-6060 | |
(870) 257-7667 |
Full Name | Midway Medical Clinic |
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Speciality | Clinic/Center |
Location | 195 Hospital Dr, Cherokee Village, Arkansas |
Authorized Official Name and Position | Lisa R Melton (CLINIC SUPERVISOR) |
Authorized Official Contact | 8702626039 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Midway Medical Clinic 195 Hospital Dr Cherokee Village AR 72529-7314 Ph: (870) 257-6060 | Midway Medical Clinic 195 Hospital Dr Cherokee Village AR 72529-7314 Ph: (870) 257-6060 |
NPI Number | 1568432144 |
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Provider Enumeration Date | 01/25/2006 |
Last Update Date | 02/05/2008 |
Medicare PECOS PAC ID | 0143134270 |
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Medicare Enrollment ID | O20040830000837 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568432144 | NPI | - | NPPES |
5B003 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Birtha Virginia Hartness |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003895541 PECOS PAC ID: 5294712873 Enrollment ID: I20040701000746 |
Provider Name | Terry L Burns |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1801908108 PECOS PAC ID: 0244206860 Enrollment ID: I20051014000583 |
Provider Name | Lisa Sherrill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942357298 PECOS PAC ID: 6901901461 Enrollment ID: I20070412000297 |
Provider Name | Kathleen Maples |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245307586 PECOS PAC ID: 5799872685 Enrollment ID: I20080204000207 |
Provider Name | Robin Kerr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083931331 PECOS PAC ID: 1951435999 Enrollment ID: I20100812001040 |
Provider Name | Timothy D Young |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003886169 PECOS PAC ID: 5193910271 Enrollment ID: I20101115000955 |
Provider Name | Kristie D Branscum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821437302 PECOS PAC ID: 6103067293 Enrollment ID: I20130801000566 |
Provider Name | Yolonda E Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003015348 PECOS PAC ID: 7416171657 Enrollment ID: I20140610000917 |
Provider Name | Amanda Lois Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699187666 PECOS PAC ID: 7618291931 Enrollment ID: I20150115000495 |
Provider Name | Jennifer Blaney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659766939 PECOS PAC ID: 6305158932 Enrollment ID: I20150709002495 |
Provider Name | Jennifer D Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144615287 PECOS PAC ID: 6305152596 Enrollment ID: I20150902002477 |
Provider Name | Lavertta K Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174907679 PECOS PAC ID: 9133424302 Enrollment ID: I20160225001752 |
Provider Name | Lauren Bloch |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568809044 PECOS PAC ID: 4789802901 Enrollment ID: I20160802000115 |
Provider Name | Amanda D Johnson |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1629489133 PECOS PAC ID: 6507170255 Enrollment ID: I20160916000300 |
Provider Name | Jerrod R Anderson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013302587 PECOS PAC ID: 7618283805 Enrollment ID: I20170221000594 |
Provider Name | Morgan Shirley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245752070 PECOS PAC ID: 0547535395 Enrollment ID: I20171005000032 |
Provider Name | Olivia K Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194232439 PECOS PAC ID: 6406117621 Enrollment ID: I20180305002046 |
Provider Name | Dana Kathryn Childress |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518447960 PECOS PAC ID: 8628329042 Enrollment ID: I20180925001750 |
Provider Name | Marlo Rae Hargrave |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275041923 PECOS PAC ID: 2264776533 Enrollment ID: I20181128001359 |
Provider Name | Jennifer Tosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295390136 PECOS PAC ID: 7113260431 Enrollment ID: I20190529002810 |
Provider Name | Kerstie Metzger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619504370 PECOS PAC ID: 5092145730 Enrollment ID: I20200421003116 |
Provider Name | Blake Dixon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518316702 PECOS PAC ID: 7315295854 Enrollment ID: I20200619001164 |
Provider Name | Christina Marie Cooper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386216109 PECOS PAC ID: 8820492325 Enrollment ID: I20210805001234 |
Provider Name | Sarah Lynn Wycough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457924086 PECOS PAC ID: 4284039991 Enrollment ID: I20210818002637 |
Provider Name | Micah Joyce Moody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447820998 PECOS PAC ID: 7416352430 Enrollment ID: I20210828000312 |
Provider Name | Brandon Dale Womack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558035121 PECOS PAC ID: 2567868136 Enrollment ID: I20210907002156 |
Provider Name | Melinda Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518614874 PECOS PAC ID: 7810382132 Enrollment ID: I20220323000004 |
Provider Name | Tracy Bonee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538896196 PECOS PAC ID: 7911377031 Enrollment ID: I20230106001682 |
Internal Medicine Diagnostics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 197 Hospital Dr, Suite B, Cherokee Village, AR 72529 Phone: 870-257-5118 | |
Oldenberg Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |
Urban Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 West Cherokee Village Mall #12, Cherokee Village, AR 72529 Phone: 870-257-4110 Fax: 870-257-4112 | |
White River Health System, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 195 Hospital Dr Ste C, Cherokee Village, AR 72529 Phone: 870-257-6040 Fax: 870-257-7668 | |
Hardy Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 197 Hospital Dr, Cherokee Village, AR 72529 Phone: 870-257-6070 Fax: 870-257-7667 |