MEDICARE: ARKANSAS HEALTH GROUP

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	207Q00000X	Family Medicine Physician	C3204	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5901655	OTHER	AR	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	14003000000	OTHER	AR	QUALCHOICE
4	770017602	OTHER	AR	BREASTCARE

General Provider Information

NPI Number	:	1548239247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS HEALTH GROUP

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DR
Second Line	:	SUITE 200
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4316
Country	:	US
Telephone Number	:	501-812-7800
Fax Number	:	501-812-7851

Provider Business Practice Location Address
First Line	:	1110 W VINE ST
Second Line	:
City	:	SHERIDAN
State	:	AR
Zip	:	72150-7804
Country	:	US
Telephone Number	:	870-942-5155
Fax Number	:	870-942-8791

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. CLYDE D PAULK
Credential	:	MD
Telephone Number	:	870-942-5155

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	02/09/2009

Similar Medicare Providers

1912831470 — ALYSSA N WYNN
Practice Location Address:

35 DONNA DR
SHERIDAN, AR
72150-7047

Practice Phone: 501-286-5056
Practice Fax:

1730188350 — SHERIDAN PHYSICAL THERAPY CLINIC
Practice Location Address:

15 OPPORTUNITY DR
SHERIDAN, AR
72150-9185

Practice Phone: 870-942-8335
Practice Fax: 870-942-2234

1033107610 — DIVERSICARE LEASING CORP.
Practice Location Address:

113 S BRIARWOOD DR
SHERIDAN, AR
72150-8417

Practice Phone: 870-942-2183
Practice Fax: 870-942-1333

1356320832 — DR. JOHN B SIMPSON M.D.
Practice Location Address:

651 HERITAGE DR
SHERIDAN, AR
72150

Practice Phone: 870-942-1301
Practice Fax: 870-942-1305

1184690455 — DR. SCOTT DAVID WINSTON M.D.
Practice Location Address:

506 LITTLE CREEK CUT OFF RD
SHERIDAN, AR
72150-7798

Practice Phone: 870-942-3000
Practice Fax: 870-942-3005

1497724157 — DR. CLYDE DODSON PAULK M.D.
Practice Location Address:

21 OPPORTUNITY DR
SHERIDAN, AR
72150-9185

Practice Phone: 870-942-9833
Practice Fax: 870-942-9837

Directions to “ARKANSAS HEALTH GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.