Healthcare Provider Details

I. General information

NPI: 1407447188
Provider Name (Legal Business Name): MASINI MEDICAL SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 01/27/2021
Certification Date: 01/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 HIGDON FERRY RD
HOT SPRINGS AR
71913-6912
US

IV. Provider business mailing address

177 SARATOGA
HOT SPRINGS AR
71901-7356
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-2000
  • Fax: 877-428-6625
Mailing address:
  • Phone: 516-532-7391
  • Fax: 877-428-6625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: MARK WILSON
Title or Position: CREDENTIALING/BILLING
Credential:
Phone: 877-428-6606