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FOUNTAINS INFUSION CENTER OF LITTLE ROCK LLC NPI 1023747102


NPI Information

NPI: 1023747102
Provider Name: FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
15200 CHENAL PKWY STE 300
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 451-6080
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FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC is an infusion therapy clinic center in Little Rock, AR. FOUNTAINS INFUSION CENTER OF LITTLE ROCK, LLC NPI is 1023747102. The provider is registered as an organization entity type.

The provider's business location address is:

15200 CHENAL PKWY STE 300
LITTLE ROCK, AR
ZIP 72211
Phone: (501) 451-6080
Fax: (501) 451-6081

The provider's authorized official is George Wade Phillips .
The authorized official title is Owner and has the following contact phone number (601) 859-8200.

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/6/2022.


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
1261QI0500XClinic/CenterInfusion TherapyYes

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.