MEDICARE: SETREK CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	AR4569	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639515729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETREK CORPORATION

Provider Business Mailing Address
First Line	:	100 N DIXIELAND RD
Second Line	:	STE A-5
City	:	ROGERS
State	:	AR
Zip	:	72756-1123
Country	:	US
Telephone Number	:	479-936-9885
Fax Number	:	479-936-9887

Provider Business Practice Location Address
First Line	:	100 N DIXIELAND RD
Second Line	:	STE A-5
City	:	ROGERS
State	:	AR
Zip	:	72756-1123
Country	:	US
Telephone Number	:	479-936-9885
Fax Number	:	479-936-9887

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	CARLENE WELCH
Credential	:
Telephone Number	:	479-936-9885

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	05/15/2013

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Directions to “SETREK CORPORATION ” Practice Location

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