DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. MICHAEL C CHURCH M.D.

MEDICARE: DR. MICHAEL C CHURCH M.D.
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
1207R00000XInternal Medicine PhysicianC-7068AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902815558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL C CHURCH M.D.
Provider Business Mailing Address
First Line : 1701 CLUB MANOR DR
Second Line : STE 2B
City : MAUMELLE
State : AR
Zip : 72113-7401
Country : US
Telephone Number : 501-758-7352
Fax Number : 501-771-5014
Provider Business Practice Location Address
First Line : 505 W PERSHING BLVD STE C
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72114-2157
Country : US
Telephone Number : 501-758-7352
Fax Number : 501-771-5014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 10/23/2020

Similar Medicare Providers

1225997836 — CHAYIM KAVANAH WELLNESS LLC
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-247-3656
Practice Fax:
1740299478 — ARKANSAS HEALTH GROUP
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1730198243 — DR. ERIC C PIERCE M.D.
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1992714505 — DR. KATHY SUE PARNELL
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1154402444 — DR. ERIC BRAVO M.D.
Practice Location Address:
505 W PERSHING BLVD STE C
NORTH LITTLE ROCK, AR
72114-2157
Practice Phone: 501-758-7352
Practice Fax: 501-771-5014
1083864649 — IDUMANGE T. IDUMANGE PT
Practice Location Address:
505 W PERSHING BLVD STE D
N LITTLE ROCK, AR
72114-2157
Practice Phone: 501-812-4970
Practice Fax: 501-812-4972

Directions to “ DR. MICHAEL C CHURCH M.D.” Practice Location

Language Start Address Practice Location
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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.