| Full Name | Wound Care Clinic |
|---|---|
| Speciality | General Practice |
| Location | 2200 Ada Ave, Conway, Arkansas |
| Authorized Official Name and Position | Phillip Stone (PRESIDENT) |
| Authorized Official Contact | 5015135793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Clinic Po Box 727 Conway AR 72033-0727 Ph: (501) 513-5793 | Wound Care Clinic 2200 Ada Ave Conway AR 72034-4985 Ph: (501) 513-5444 |
| NPI Number | 1427202639 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427202639 | NPI | - | NPPES |
| P00089411-CP87 | Other | AR | MEDICARE RAILROAD |
| 10035643 | Other | AR | MEDICARE RAILROAD |
| 111533001 | Medicaid | AR | |
| 3920046 | Other | UNITED HEALTH CARE | |
| 130948001 | Medicaid | AR | |
| 930055480 | Other | AR | MEDICARE RAILROAD |
| 930104614 | Other | MEICARE RAILROAD | |
| 103074001 | Medicaid | AR | |
| 150518001 | Medicaid | AR |
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