Healthcare Provider Details

I. General information

NPI: 1356856660
Provider Name (Legal Business Name): PRECISION HEALTHCARE, INC. ARKANSAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2017
Last Update Date: 02/03/2021
Certification Date: 02/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 A PARKWOOD STREET PARKWOOD SUITES TWO
LOWELL AR
72745-8811
US

IV. Provider business mailing address

214 CENTERVIEW DR STE 250
BRENTWOOD TN
37027-3248
US

V. Phone/Fax

Practice location:
  • Phone: 479-361-8601
  • Fax: 888-615-1445
Mailing address:
  • Phone: 615-367-1444
  • Fax: 888-615-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. WILLIAM SEIBELS
Title or Position: CFO
Credential:
Phone: 615-610-3727