Healthcare Provider Details

I. General information

NPI: 1891386454
Provider Name (Legal Business Name): EMRHA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2021
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 AIRPORT RD STE J
PEARCY AR
71964-9470
US

IV. Provider business mailing address

277 ARLINGTON PARK DR
HOT SPRINGS AR
71901-7998
US

V. Phone/Fax

Practice location:
  • Phone: 501-315-8320
  • Fax:
Mailing address:
  • Phone: 501-693-5410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON F HORN
Title or Position: MANAGING MEMBER
Credential: APRN
Phone: 501-693-5410