Portland Health Care | |
233 N Main St Portland AR 71663 | |
(870) 737-2221 | |
(855) 878-5991 |
Full Name | Portland Health Care |
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Speciality | Clinic/Center |
Location | 233 N Main St, Portland, Arkansas |
Authorized Official Name and Position | Gary Allan Nichols (CFO) |
Authorized Official Contact | 8705385414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Portland Health Care Po Box 100 233 N Main St Portland AR 71663-0100 Ph: (870) 737-2737 | Portland Health Care 233 N Main St Portland AR 71663 Ph: (870) 737-2221 |
NPI Number | 1316106388 |
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Provider Enumeration Date | 06/05/2008 |
Last Update Date | 08/30/2022 |
Medicare PECOS PAC ID | 5193785590 |
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Medicare Enrollment ID | O20110502000760 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316106388 | NPI | - | NPPES |
117615749 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Portland Elementary Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 314 Highway 160 E, Portland, AR 71663 Phone: 870-538-5414 Fax: 870-538-5412 |