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SERVANT HEALTHCARE PA NPI 1013274364


NPI Information

NPI: 1013274364
Provider Name: SERVANT HEALTHCARE, PA

Doing Business As: APEX MEN'S HEALTH

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10700 N RODNEY PARHAM ROAD
STE C-10A
LITTLE ROCK, AR
ZIP 72212
Phone: (501) 246-7274
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SERVANT HEALTHCARE, PA is a clinic center in Little Rock, AR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SERVANT HEALTHCARE, PA NPI is 1013274364. The provider is registered as an organization entity type.
The provider Is Doing Business As Apex Men's Health.

The provider's business location address is:

10700 N RODNEY PARHAM ROAD
STE C-10A
LITTLE ROCK, AR
ZIP 72212
Phone: (501) 246-7274
Fax: (501) 421-4161

The provider's authorized official is Jeremy Alan Warford .
The authorized official title is Owner and has the following contact phone number (501) 920-2252.

The enumeration date for this NPI number is 4/11/2012 and was last updated on 11/5/2013.


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
1261Q00000XClinic/CenterBL00123175ARKANSASYes

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
15GB23OTHERARKANSASMEDICARE GROUP PTAN

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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