| Walk In Center | |
|
1102 Crestwood Cir Mena AR 71953-5513 | |
| (479) 394-7301 | |
| (479) 394-7160 |
| Full Name | Walk In Center |
|---|---|
| Speciality | General Practice |
| Location | 1102 Crestwood Cir, Mena, Arkansas |
| Authorized Official Name and Position | Robert Rupp (CEO) |
| Authorized Official Contact | 4793946100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Walk In Center Po Box 1325 Mena AR 71953-1325 Ph: (479) 394-1414 | Walk In Center 1102 Crestwood Cir Mena AR 71953-5513 Ph: (479) 394-7301 |
| NPI Number | 1699096297 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/10/2022 |
| Medicare PECOS PAC ID | 8022134261 |
|---|---|
| Medicare Enrollment ID | O20100925000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699096297 | NPI | - | NPPES |
| 184597002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Steven P Forrest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194921635 PECOS PAC ID: 5193849693 Enrollment ID: I20100907000538 |
| Provider Name | Richard M Lochala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731259 PECOS PAC ID: 3870552235 Enrollment ID: I20110613000604 |
| Provider Name | Lori Fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982978532 PECOS PAC ID: 1355501156 Enrollment ID: I20120403000123 |
| Provider Name | Patrick J Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003963208 PECOS PAC ID: 6002913118 Enrollment ID: I20120409000009 |
| Provider Name | David L Koppein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790988319 PECOS PAC ID: 8729169289 Enrollment ID: I20160407000410 |
| Provider Name | Emily Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053917310 PECOS PAC ID: 7719392182 Enrollment ID: I20210216003388 |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 College Dr, Mena, AR 71953 Phone: 479-394-1414 Fax: 877-775-6761 | |
Jmac Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste F, Mena, AR 71953 Phone: 479-437-6080 | |
Grannis Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Morrow St N, Mena, AR 71953 Phone: 870-385-2513 | |
Mena Hospital Commission Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 Crestwood Cir, Mena, AR 71953 Phone: 479-394-7301 Fax: 479-394-7160 | |
Goodnight Family Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 Morrow St N Ste D, Mena, AR 71953 Phone: 479-437-6080 Fax: 479-437-6079 | |
David P. Brown, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1302 Highway 71 N, Mena, AR 71953 Phone: 479-394-3718 Fax: 479-394-7571 | |
Ouachita Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1210 Dequeen St, Mena, AR 71953 Phone: 479-394-5068 Fax: 479-394-5626 |