| Community Clinic Centerton | |
|
314 E Centerton Blvd Centerton AR 72719-9217 | |
| (479) 751-7417 | |
| (479) 751-4898 |
| Full Name | Community Clinic Centerton |
|---|---|
| Speciality | Clinic/Center |
| Location | 314 E Centerton Blvd, Centerton, Arkansas |
| Authorized Official Name and Position | James A Semingson (CEO) |
| Authorized Official Contact | 4797517417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Clinic Centerton 614 E Emma Ave Ste 300 Springdale AR 72764-4469 Ph: (479) 751-7417 | Community Clinic Centerton 314 E Centerton Blvd Centerton AR 72719-9217 Ph: (479) 751-7417 |
| NPI Number | 1093442162 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 0042262495 |
|---|---|
| Medicare Enrollment ID | O20230125003059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093442162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Serc - Centerton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1260 E Centerton Blvd, Centerton, AR 72719 Phone: 479-795-0173 Fax: 479-795-0467 | |
Reevesmed Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1415 E Centerton Blvd, Centerton, AR 72719 Phone: 479-224-1565 Fax: 844-758-8644 | |
Conover Clinics, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Sun Meadow Dr, Centerton, AR 72719 Phone: 479-795-0426 Fax: 479-795-0427 |