Healthcare Provider Details

I. General information

NPI: 1821018417
Provider Name (Legal Business Name): CENTRAL ARKANSAS HEMATOLOGY AND ONCOLOGY CLINIC, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 HARMONY PARK CIRCLE
HOT SPRINGS AR
71913
US

IV. Provider business mailing address

133 HARMONY PARK CIRCLE
HOT SPRINGS AR
71913
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-7700
  • Fax:
Mailing address:
  • Phone: 501-624-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberMC-1130
License Number StateAR

VIII. Authorized Official

Name: MRS. JELINDA SCOTT
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-624-7700