| Washington County Hiv Clinic | |
|
3270 N. Wimberly Drive Fayetteville AR 72703 | |
| (479) 973-8450 | |
| (479) 973-8452 |
| Full Name | Washington County Hiv Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3270 N. Wimberly Drive, Fayetteville, Arkansas |
| Authorized Official Name and Position | Linda Mcghee (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4799738450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington County Hiv Clinic 3270 N. Wimberly Drive Fayetteville AR 72703 Ph: (479) 973-8450 | Washington County Hiv Clinic 3270 N. Wimberly Drive Fayetteville AR 72703 Ph: (479) 973-8450 |
| NPI Number | 1053476606 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 05/23/2012 |
| Medicare PECOS PAC ID | 8820157217 |
|---|---|
| Medicare Enrollment ID | O20120509000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053476606 | NPI | - | NPPES |
| 122854002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ARC4505 (Arkansas) | Primary |
| Provider Name | Linda M Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330704 PECOS PAC ID: 7911947692 Enrollment ID: I20050512000268 |
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