Healthcare Provider Details

I. General information

NPI: 1659280659
Provider Name (Legal Business Name): MGA HEALTHCARE ARKANSAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

814 HIGDON FERRY RD
HOT SPRINGS AR
71913-6128
US

IV. Provider business mailing address

7025 N SCOTTSDALE RD STE 200
SCOTTSDALE AZ
85253-3675
US

V. Phone/Fax

Practice location:
  • Phone: 501-255-0200
  • Fax: 501-498-7566
Mailing address:
  • Phone: 479-304-6534
  • Fax: 479-546-2275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA KOLOSKUS
Title or Position: CHIEF LEGAL OFFICER
Credential:
Phone: 720-276-7706