Healthcare Provider Details

I. General information

NPI: 1467510255
Provider Name (Legal Business Name): HEALTHFIRST PHYSICIANS OF ARKANSAS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 N HIGHWAY 7 SUITE 201
HOT SPRINGS AR
71909-9301
US

IV. Provider business mailing address

4419 N HIGHWAY 7 SUITE 201
HOT SPRINGS AR
71909-9301
US

V. Phone/Fax

Practice location:
  • Phone: 501-922-2217
  • Fax: 501-922-4216
Mailing address:
  • Phone: 501-922-2217
  • Fax: 501-922-4216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMC1988
License Number StateAR

VIII. Authorized Official

Name: MRS. PEGGY BODEMANN
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-623-2781