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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770292732
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	:	501-526-5148

Provider Business Practice Location Address
First Line	:	4261 STOCKTON DR STE 100
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2916
Country	:	US
Telephone Number	:	501-686-8000
Fax Number	:	501-526-5148

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

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	11/18/2022

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