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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

General Provider Information

NPI Number : 1790383156
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 :
Provider Business Practice Location Address
First Line : 4635 JOHN F KENNEDY BLVD
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72116-7310
Country : US
Telephone Number : 501-435-3325
Fax Number : 501-435-3330
Authorized Official
Title or Position : CEO
Name : WILL RUSHER
Credential :
Telephone Number : 501-812-7215
Provider Enumeration Date : 10/16/2020
Last Update Date : 10/21/2021

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Directions to “ARKANSAS HEALTH GROUP ” Practice Location

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