Ozarks Primary Care Plus | |
8703 W Migration Way Bentonville AR 72713-2162 | |
(479) 685-9809 | |
Not Available |
Full Name | Ozarks Primary Care Plus |
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Speciality | Family Medicine |
Location | 8703 W Migration Way, Bentonville, Arkansas |
Authorized Official Name and Position | Samantha Chaligoj (OWNER) |
Authorized Official Contact | 4796859809 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ozarks Primary Care Plus 8703 W Migration Way Bentonville AR 72713-2162 Ph: (479) 685-9809 | Ozarks Primary Care Plus 8703 W Migration Way Bentonville AR 72713-2162 Ph: (479) 685-9809 |
NPI Number | 1033927546 |
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Provider Enumeration Date | 12/30/2024 |
Last Update Date | 01/27/2025 |
Medicare PECOS PAC ID | 7012447808 |
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Medicare Enrollment ID | O20250210000013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033927546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Samantha Chaligoj |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962875054 PECOS PAC ID: 1355648221 Enrollment ID: I20241119002815 |
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