Healthcare Provider Details

I. General information

NPI: 1770306896
Provider Name (Legal Business Name): PIONEER HEALTH SERVICES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 SECTION LINE RD STE N
HOT SPRINGS AR
71913-6188
US

IV. Provider business mailing address

1661 AIRPORT RD STE D
HOT SPRINGS AR
71913-8184
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-4270
  • Fax: 501-330-8632
Mailing address:
  • Phone: 501-625-7500
  • Fax: 501-625-7777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: PETER W. GURESKY
Title or Position: PRESIDENT
Credential: MD
Phone: 501-701-4270