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	:	1831144120
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	:	870-541-6034

Provider Business Practice Location Address
First Line	:	1601 W 40TH AVE
Second Line	:
City	:	PINE BLUFF
State	:	AR
Zip	:	71603-6069
Country	:	US
Telephone Number	:	870-541-6000
Fax Number	:	870-541-3198

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	06/19/2025

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Directions to “UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES ” Practice Location

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