MEDICARE: SHARE FOUNDATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	2080H0002X	Pediatric Hospice and Palliative Medicine Physician
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1558909192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARE FOUNDATION

Provider Business Mailing Address
First Line	:	2299 CHAMPAGNOLLE RD
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4841
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 CHAMPAGNOLLE RD
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4816
Country	:	US
Telephone Number	:	870-862-0337
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	BRIAN WESLEY JONES
Credential	:
Telephone Number	:	870-881-9015

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	12/13/2019

Similar Medicare Providers

1174522841 — SHARE FOUNDATION
Practice Location Address:

2301 CHAMPAGNOLLE ROAD
EL DORADO, AR
71730-4816

Practice Phone: 870-862-0337
Practice Fax: 870-862-0727

1710519673 — MRS. CHRISTY WUST APRN
Practice Location Address:

2301 CHAMPAGNOLLE RD
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Practice Phone: 870-865-7908
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1447099056 — SOUTH ARKANSAS REGIONAL HEALTH CENTER
Practice Location Address:

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Practice Phone: 870-865-7908
Practice Fax:

1902846868 — PATHOLOGY PROFESSIONAL SERVICES PA
Practice Location Address:

1301 RIVER
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Practice Phone: 915-533-3000
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1881626877 — JORGE EDUARDO BILBAO MD
Practice Location Address:

1301 RIVER
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1821207432 — DR. CESAR ALEJANDRO ABBUD-MENDEZ M.D.
Practice Location Address:

1301 E RIVER AVE
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Practice Phone: 915-533-3000
Practice Fax: 915-533-5544

Directions to “SHARE FOUNDATION ” Practice Location

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