| Mimo Medical Services, LLC | |
|
2506 Crestview Dr Magnolia AR 71753-4336 | |
| (479) 530-1308 | |
| (479) 968-1673 |
| Full Name | Mimo Medical Services, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2506 Crestview Dr, Magnolia, Arkansas |
| Authorized Official Name and Position | Mathias Groguhe (MANAGING EMPLOYEE) |
| Authorized Official Contact | 5122016766 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mimo Medical Services, LLC Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Mimo Medical Services, LLC 2506 Crestview Dr Magnolia AR 71753-4336 Ph: (479) 530-1308 |
| NPI Number | 1871107474 |
|---|---|
| Provider Enumeration Date | 09/02/2020 |
| Last Update Date | 02/25/2026 |
| Certification Date | 02/25/2026 |
| Medicare PECOS PAC ID | 0244658524 |
|---|---|
| Medicare Enrollment ID | O20200918000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871107474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Mimo R Lemdja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023283710 PECOS PAC ID: 5698890317 Enrollment ID: I20100917000171 |
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 |
Magnolia Primary Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 E Columbia, Magnolia, AR 71753 Phone: 870-235-3550 |
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 W Chambliss MD PLLC PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 E North St, Magnolia, AR 71753 Phone: 870-234-3802 Fax: 870-234-7386 |