| Monticello Medical Clinic, Plc | |
| 1306 N. Lincoln Avenue Star City AR 71667 | |
| (870) 628-1388 | |
| (870) 628-1347 | 
| Full Name | Monticello Medical Clinic, Plc | 
|---|---|
| Speciality | Family Medicine | 
| Location | 1306 N. Lincoln Avenue, Star City, Arkansas | 
| Authorized Official Name and Position | Sylvia Simon (MEDICAL DIRECTOR) | 
| Authorized Official Contact | 8703676867 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Monticello Medical Clinic, Plc 906 Roberts Dr Monticello AR 71655-5724 Ph: (870) 367-6867 | Monticello Medical Clinic, Plc 1306 N. Lincoln Avenue Star City AR 71667 Ph: (870) 628-1388 | 
| NPI Number | 1982193975 | 
|---|---|
| Provider Enumeration Date | 05/04/2018 | 
| Last Update Date | 05/04/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982193975 | NPI | - | NPPES | 
| 139812002 | Medicaid | AR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | MC-1891 (Arkansas) | Primary | 
| Kenneth A Heiles, D.o. Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Jefferson St, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
| Mainline Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Ashley St, Star City, AR 71667 Phone: 650-419-2545 Fax: 855-854-6281 | |
| Mainline Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 N Drew St, Star City, AR 71667 Phone: 870-628-5110 Fax: 855-854-6281 | |
| Paul F Whipple,d.o.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Kirkwood Rd, Star City, AR 71667 Phone: 870-628-5391 Fax: 870-629-5393 | |
| Mainline Health Systems, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 E Arkansas St Rm E3, Star City, AR 71667 Phone: 650-419-2810 Fax: 870-538-5412 | |
| University Of Arkansas For Medical Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 S Jefferson St, Star City, AR 71667 Phone: 870-628-5110 Fax: 870-628-5949 | |
| Jefferson Hospital Association, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 North Lincoln Avenue, Star City, AR 71667 Phone: 870-628-1347 |