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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
1207VM0101XMaternal & Fetal Medicine Physician

Other Identifiers

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

General Provider Information

NPI Number : 1760752612
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS HEALTH GROUP
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-812-7215
Fax Number : 501-812-7207
Provider Business Practice Location Address
First Line : 9501 BAPTIST HEALTH DR
Second Line : MEDICAL TOWERS LL, SUITE 800
City : LITTLE ROCK
State : AR
Zip : 72205-6225
Country : US
Telephone Number : 501-223-2080
Fax Number : 501-223-2088
Authorized Official
Title or Position : CEO
Name : WILL RUSHER
Credential :
Telephone Number : 501-812-7587
Provider Enumeration Date : 01/10/2012
Last Update Date : 04/12/2019

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