Healthcare Provider Details

I. General information

NPI: 1285957696
Provider Name (Legal Business Name): UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1393 HIGHWAY 242 S
HELENA AR
72342-8851
US

IV. Provider business mailing address

1393 HIGHWAY 242 S PO BOX 729
HELENA AR
72342-8851
US

V. Phone/Fax

Practice location:
  • Phone: 870-572-2727
  • Fax: 870-572-6558
Mailing address:
  • Phone: 870-572-2727
  • Fax: 870-572-6558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberA01237 ANP
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA GEORGE
Title or Position: VICE CHANCELLOR-CHIEF FINANCIAL OFF
Credential:
Phone: 501-686-5670