Pafford Health Systems Inc | |
100 E 20th St Hope AR 71801-8213 | |
(800) 451-8036 | |
(267) 295-8344 |
Full Name | Pafford Health Systems Inc |
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Speciality | Clinic/Center |
Location | 100 E 20th St, Hope, Arkansas |
Authorized Official Name and Position | Benjamin G Gresham (PRESIDENT) |
Authorized Official Contact | 8004518036 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pafford Health Systems Inc Po Box 1120 Hope AR 71802-1120 Ph: (800) 451-8036 | Pafford Health Systems Inc 100 E 20th St Hope AR 71801-8213 Ph: (800) 451-8036 |
NPI Number | 1164027231 |
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Provider Enumeration Date | 12/04/2020 |
Last Update Date | 11/21/2023 |
Medicare PECOS PAC ID | 3476960642 |
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Medicare Enrollment ID | O20210406001160 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164027231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Joan A Mclean |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265423347 PECOS PAC ID: 8123077237 Enrollment ID: I20050114000907 |
Provider Name | Susan C Phillips |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720584568 PECOS PAC ID: 8729338983 Enrollment ID: I20180910000499 |
Provider Name | Nicole Marie Black |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912586926 PECOS PAC ID: 8325457872 Enrollment ID: I20210513000030 |
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