| Newton County Family Practice | |
|
502 W Court St Jasper AR 72641 | |
| (870) 446-2203 | |
| Not Available |
| Full Name | Newton County Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 W Court St, Jasper, Arkansas |
| Authorized Official Name and Position | Ken Pannell (VP FINANCIAL SERVICES/CFO) |
| Authorized Official Contact | 8704145157 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newton County Family Practice Po Box 445 Jasper AR 72641-0445 Ph: (870) 446-2203 | Newton County Family Practice 502 W Court St Jasper AR 72641 Ph: (870) 446-2203 |
| NPI Number | 1588654982 |
|---|---|
| Provider Enumeration Date | 10/26/2005 |
| Last Update Date | 12/08/2021 |
| Medicare PECOS PAC ID | 5193615896 |
|---|---|
| Medicare Enrollment ID | O20070516000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588654982 | NPI | - | NPPES |
| 5B499 | Other | AR | BLUE CROSS BLUE SHIELD |
| 131314729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | AR3203 (Arkansas) | Primary |
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