| Saline Medical Group | |
|
624 Alcoa Benton AR 72015-3404 | |
| (501) 315-4512 | |
| (501) 315-0917 |
| Full Name | Saline Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 624 Alcoa, Benton, Arkansas |
| Authorized Official Name and Position | Roger L Tilley (OWNER) |
| Authorized Official Contact | 5013154512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saline Medical Group 624 Alcoa Benton AR 72015-3404 Ph: (501) 315-4512 | Saline Medical Group 624 Alcoa Benton AR 72015-3404 Ph: (501) 315-4512 |
| NPI Number | 1700830718 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 02/15/2016 |
| Medicare PECOS PAC ID | 3375440514 |
|---|---|
| Medicare Enrollment ID | O20090917000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700830718 | NPI | - | NPPES |
| 105459002 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger L Tilley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548366354 PECOS PAC ID: 6901703149 Enrollment ID: I20090917000532 |
Epoch Health- Benton, Pllc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Park Dr, Benton, AR 72015 Phone: 877-321-8452 | |
Ascent Childrens Heath Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3214 Winchester Dr., Benton, AR 72015 Phone: 501-326-6160 Fax: 501-326-6161 | |
Family Practice Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1304 Military Rd, Benton, AR 72015 Phone: 501-778-0934 Fax: 501-778-8377 | |
Congo Dental, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2101 Congo Rd Ste C, Benton, AR 72015 Phone: 501-778-1400 Fax: 501-778-6194 | |
Saline Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Benton, AR 72015 Phone: 501-776-6010 | |
West Side Wellness Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 620 W South St Ste A, Benton, AR 72015 Phone: 501-794-6123 Fax: 501-794-6148 | |
West Side Clinical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 W South St, Benton, AR 72015 Phone: 501-778-3151 Fax: 501-778-7329 |