MEDICARE: CENTRAL ARKANSAS HEMATOLOGY AND ONCOLOGY CLINIC, PA

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	261QX0200X	Oncology Clinic/Center	MC-1130	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CS5240	OTHER		RAILROAD MEDICARE

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	:	1821018417
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL ARKANSAS HEMATOLOGY AND ONCOLOGY CLINIC, PA

Provider Business Mailing Address
First Line	:	133 HARMONY PARK CIRCLE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913
Country	:	US
Telephone Number	:	501-624-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 HARMONY PARK CIRCLE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913
Country	:	US
Telephone Number	:	501-624-7700
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. JELINDA SCOTT
Credential	:
Telephone Number	:	501-624-7700

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	11/04/2008

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