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NPI Code Detail

MEDICARE: SOUTHWEST EMERGENCY ASSOCIATES

MEDICARE: SOUTHWEST EMERGENCY ASSOCIATES
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
1282N00000XGeneral Acute Care Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15C091OTHERARBCBS

General Provider Information

NPI Number : 1861424459
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST EMERGENCY ASSOCIATES
Provider Business Mailing Address
First Line : 11401 INTERSTATE 30
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72209-7042
Country : US
Telephone Number : 501-455-7100
Fax Number :
Provider Business Practice Location Address
First Line : 2909 MILITARY RD
Second Line :
City : BENTON
State : AR
Zip : 72015-2721
Country : US
Telephone Number : 501-315-6500
Fax Number : 501-315-0006
Authorized Official
Title or Position : CEO
Name : MS. NANCY FODY
Credential :
Telephone Number : 501-455-7100
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “SOUTHWEST EMERGENCY ASSOCIATES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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