| Streamline Clinic | |
|
700 E Parkway Dr Russellville AR 72801-4202 | |
| (479) 567-5770 | |
| (479) 567-5104 |
| Full Name | Streamline Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 700 E Parkway Dr, Russellville, Arkansas |
| Authorized Official Name and Position | Jeremy Saul (OWNER) |
| Authorized Official Contact | 4792803771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Streamline Clinic Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Streamline Clinic 700 E Parkway Dr Russellville AR 72801-4202 Ph: (479) 567-5770 |
| NPI Number | 1508233701 |
|---|---|
| Provider Enumeration Date | 08/24/2015 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 2961711205 |
|---|---|
| Medicare Enrollment ID | O20151027002398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508233701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeremy W Saul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437350600 PECOS PAC ID: 0648357111 Enrollment ID: I20080408000455 |
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