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HEALTHSTAR PHYSICIANS OF HOT SPRINGS PLLC NPI 1376884692


NPI Information

NPI: 1376884692
Provider Name: HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC

Doing Business As: LAKE HAMILTON FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D2057827

Address:
1661 AIRPORT RD STE F
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 651-4300
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HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC is a family medicine in Hot Springs, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEALTHSTAR PHYSICIANS OF HOT SPRINGS, PLLC NPI is 1376884692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Hamilton Family Medicine.

The provider's business location address is:

1661 AIRPORT RD STE F
HOT SPRINGS, AR
ZIP 71913-184
Phone: (501) 651-4300
Fax: (501) 651-4318

The provider's authorized official is Brenda Larie Southerland .
The authorized official title is Business Office Manager and has the following contact phone number (501) 625-7500.

The CLIA number assigned to this NPI record is 04D2057827 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/12/2013 and was last updated on 4/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG9647OTHERARKANSASRAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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