MEDICARE: ARKANSAS HEALTH GROUP

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RS0012X	Sleep Medicine (Internal Medicine) Physician
2	2084N0600X	Clinical Neurophysiology Physician
3	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1568901163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS HEALTH GROUP

Provider Business Mailing Address
First Line	:	3500 SPRINGHILL DR STE 200A
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2948
Country	:	US
Telephone Number	:	501-945-0392
Fax Number	:	501-945-0394

Provider Business Practice Location Address
First Line	:	3500 SPRINGHILL DR STE 200A
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2948
Country	:	US
Telephone Number	:	501-945-0392
Fax Number	:	501-945-0394

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	WILL RUSHER
Credential	:
Telephone Number	:	501-812-7509

Provider Enumeration Date	:	02/15/2017
Last Update Date	:	02/15/2017

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Directions to “ARKANSAS HEALTH GROUP ” Practice Location

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