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NPI Code Detail

MEDICARE: ARKANSAS HEALTH GROUP

MEDICARE: ARKANSAS HEALTH GROUP
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
2207Q00000XFamily Medicine Physician
3207R00000XInternal Medicine Physician
4207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1942980149
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARKANSAS HEALTH GROUP
Provider Business Mailing Address
First Line : 11001 EXECUTIVE CENTER DR STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72211-4393
Country : US
Telephone Number : 501-812-7215
Fax Number : 501-812-7207
Provider Business Practice Location Address
First Line : 3401 SPRINGHILL DR STE 490
Second Line :
City : NORTH LITTLE ROCK
State : AR
Zip : 72117-2933
Country : US
Telephone Number : 501-202-3815
Fax Number : 501-202-3835
Authorized Official
Title or Position : CEO
Name : WILL RUSHER
Credential :
Telephone Number : 501-812-7215
Provider Enumeration Date : 07/21/2023
Last Update Date : 07/21/2023

Similar Medicare Providers

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1316493943 — SIVA SUNDEEP KOPPOLU MBBS
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Directions to “ARKANSAS HEALTH GROUP ” Practice Location

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