| Paragould Doctors' Clinic | |
|
4000 Linwood Dr Suite A Paragould AR 72450-7223 | |
| (870) 239-8503 | |
| (870) 236-1947 |
| Full Name | Paragould Doctors' Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 Linwood Dr, Paragould, Arkansas |
| Authorized Official Name and Position | John Lieblong (VICE PRESIDENT) |
| Authorized Official Contact | 8709327024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragould Doctors' Clinic 4000 Linwood Dr Suite A Paragould AR 72450-7223 Ph: (870) 239-8503 | Paragould Doctors' Clinic 4000 Linwood Dr Suite A Paragould AR 72450-7223 Ph: (870) 239-8503 |
| NPI Number | 1134246747 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/06/2014 |
| Medicare PECOS PAC ID | 7315844586 |
|---|---|
| Medicare Enrollment ID | O20040720001451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134246747 | NPI | - | NPPES |
| 130182729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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