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PHYSICIANS' SPECIALTY HOSPITAL NPI 1407199490


NPI Information

NPI: 1407199490
Provider Name: PHYSICIANS' SPECIALTY HOSPITAL
Classification: Special Hospital - 284300000X
Entity Type: Organization
Address:
3873 N. PARKVIEW DRIVE
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 571-7070
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PHYSICIANS' SPECIALTY HOSPITAL is a special hospital in Fayetteville, AR. The provider is a designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. PHYSICIANS' SPECIALTY HOSPITAL NPI is 1407199490. The provider is registered as an organization entity type.

The provider's business location address is:

3873 N. PARKVIEW DRIVE
FAYETTEVILLE, AR
ZIP 72703-286
Phone: (479) 571-7070
Fax: (579) 571-7090

The provider's authorized official is Daryle R. Greene .
The authorized official title is Ceo and has the following contact phone number (479) 571-7001.

The enumeration date for this NPI number is 3/28/2013 and was last updated on 3/28/2013.


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
1284300000XSpecial HospitalYes

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
1040152MEDICARE OSCAR/CERTIFICATIONARKANSAS
2040152MEDICARE UPINARKANSAS
3180190105MEDICAIDARKANSAS
45G268MEDICARE UPINARKANSAS
5040152MEDICARE PINARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.