Healthcare Provider Details

I. General information

NPI: 1861425415
Provider Name (Legal Business Name): HEALTHFIRST PHYSICIANS OF ARKANSAS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 07/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1662 HIGDON FERRY ROAD SUITE 100
HOT SPRINGS AR
71913
US

IV. Provider business mailing address

PO BOX 21908
HOT SPRINGS AR
71903-1908
US

V. Phone/Fax

Practice location:
  • Phone: 501-520-5476
  • Fax: 501-520-5486
Mailing address:
  • Phone: 501-520-5476
  • Fax: 501-520-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMC2118
License Number StateAR

VIII. Authorized Official

Name: MR. MICHAEL T. TANKERSLEY
Title or Position: CEO-HEALTHFIRST
Credential:
Phone: 501-520-5000