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SOUTHEASTERN WELLNESS SERVICES NPI 1962038174


NPI Information

NPI: 1962038174
Provider Name: SOUTHEASTERN WELLNESS SERVICES
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 04D2131801

Address:
1636 HIGDON FERRY RD
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 651-2000
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SOUTHEASTERN WELLNESS SERVICES is an internal medicine in Hot Springs, AR. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SOUTHEASTERN WELLNESS SERVICES NPI is 1962038174. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1636 HIGDON FERRY RD
HOT SPRINGS, AR
ZIP 71913-912
Phone: (501) 651-2000

The provider's authorized official is Jeff Bordelon .
The authorized official title is Owner and has the following contact phone number (501) 223-9948.

The CLIA number assigned to this NPI record is 04D2131801 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/19/2020 and was last updated on 7/25/2023.


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
1207R00000XInternal MedicineYes

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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