Healthcare Provider Details

I. General information

NPI: 1003031600
Provider Name (Legal Business Name): PHILLIPS CLINIC COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 MARTIN LUTHER KING JR DR
HELENA AR
72342-8998
US

IV. Provider business mailing address

1801 MARTIN LUTHER KING JR DR
HELENA AR
72342-8998
US

V. Phone/Fax

Practice location:
  • Phone: 870-816-3900
  • Fax: 870-816-3909
Mailing address:
  • Phone: 870-816-3900
  • Fax: 870-816-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateAR

VIII. Authorized Official

Name: WILLIAM TAYLOR MARSHALL
Title or Position: ATTORNEY
Credential:
Phone: 501-786-4007