Healthcare Provider Details

I. General information

NPI: 1871018515
Provider Name (Legal Business Name): ASH URGENT CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 NORTHSHORE DRIVE
NORTH LITTLE ROCK AR
72118
US

IV. Provider business mailing address

5201 NORTHSHORE DR
NORTH LITTLE ROCK AR
72118-5312
US

V. Phone/Fax

Practice location:
  • Phone: 501-748-8089
  • Fax:
Mailing address:
  • Phone: 501-748-8089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARRIE HELM
Title or Position: CEO
Credential:
Phone: 501-748-8017