Healthcare Provider Details
I. General information
NPI: 1144876418
Provider Name (Legal Business Name): ARKMED HEALTHCARE ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/13/2019
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 CENTRAL AVE STE A
HOT SPRINGS AR
71901-6800
US
IV. Provider business mailing address
PO BOX 3751
LITTLE ROCK AR
72203-3751
US
V. Phone/Fax
- Phone: 501-623-5598
- Fax: 501-623-5516
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BROCK
HARRISON
WRINKLES
Title or Position: CEO
Credential: PA-C
Phone: 501-599-8400