MEDICARE: PIONEER HEALTH SERVICES, PA

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	261QM0850X	Adult Mental Health Clinic/Center	C7700	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

General Provider Information

NPI Number	:	1528275286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIONEER HEALTH SERVICES, PA

Provider Business Mailing Address
First Line	:	PO BOX 2365
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71914-2365
Country	:	US
Telephone Number	:	501-701-4270
Fax Number	:

Provider Business Practice Location Address
First Line	:	147 SECTION LINE RD STE N
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-6188
Country	:	US
Telephone Number	:	501-701-4270
Fax Number	:	501-330-8632

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER W GURESKY
Credential	:	M.D.
Telephone Number	:	501-701-4270

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	11/04/2024

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