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NPI Code Detail

MEDICARE: ARKANSAS HEALTH GROUP

MEDICARE: ARKANSAS HEALTH GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2261QR1300XRural Health Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25B779OTHERARBLUE CROSS BLUE SHIELD
3770001002OTHERARBREASTCARE

General Provider Information

NPI Number : 1538132402
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS HEALTH GROUP
Provider Business Mailing Address
First Line : PO BOX 757
Second Line :
City : CAMDEN
State : AR
Zip : 71711-0757
Country : US
Telephone Number : 870-836-8101
Fax Number : 870-837-6833
Provider Business Practice Location Address
First Line : 353 CASH RD SW
Second Line :
City : CAMDEN
State : AR
Zip : 71701-3704
Country : US
Telephone Number : 870-836-8101
Fax Number : 870-837-6833
Authorized Official
Title or Position : CEO
Name : MR. WILL RUSHER
Credential : CEO
Telephone Number : 501-812-7500
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/30/2023

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Directions to “ARKANSAS HEALTH GROUP ” Practice Location

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