MEDICARE: DR. CHAD HILL MD

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	207V00000X	Obstetrics & Gynecology Physician	E0969	AR

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861503062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAD HILL MD

Provider Business Mailing Address
First Line	:	603-2 N PROGRESS AVE
Second Line	:	SUITE 100
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-4063
Country	:	US
Telephone Number	:	479-524-9312
Fax Number	:	479-524-9627

Provider Business Practice Location Address
First Line	:	603-2 N PROGRESS AVE
Second Line	:	SUITE 100
City	:	SILOAM SPRINGS
State	:	AR
Zip	:	72761-4063
Country	:	US
Telephone Number	:	479-524-9312
Fax Number	:	479-524-9627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	10/02/2014

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