Provider Demographics
NPI:1902298342
Name:PRECISION HEALTH CARE, INC
Entity Type:Organization
Organization Name:PRECISION HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIBELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-419-4343
Mailing Address - Street 1:113 PARKWOOD ST STE A
Mailing Address - Street 2:PARKWOOD SUITES TWO
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-8811
Mailing Address - Country:US
Mailing Address - Phone:615-367-1444
Mailing Address - Fax:888-615-1445
Practice Address - Street 1:113 PARKWOOD ST STE A
Practice Address - Street 2:PARKWOOD SUITES TWO
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-8811
Practice Address - Country:US
Practice Address - Phone:479-361-8601
Practice Address - Fax:888-615-1445
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISION HEALTH CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-23
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARTP00120261QI0500X, 261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1306450001Medicare PIN