MEDICARE: UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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
1	261QC1500X	Community Health Clinic/Center
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750375895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

Provider Business Mailing Address
First Line	:	PO BOX 251420
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72225-1420
Country	:	US
Telephone Number	:	501-686-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1617 N WASHINGTON
Second Line	:
City	:	MAGNOLIA
State	:	AR
Zip	:	71753-2046
Country	:	US
Telephone Number	:	870-234-7676
Fax Number	:

Authorized Official
Title or Position	:	VICE CHANCELLOR-CHIEF FINANCIAL OFF
Name	:	AMANDA GEORGE
Credential	:
Telephone Number	:	501-686-5670

Provider Enumeration Date	:	09/05/2005
Last Update Date	:	06/19/2025

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