ARKANSAS HEALTH GROUP NPI 1124037866

NPI Information

  • NPI: 1124037866
  • Provider Name: ARKANSAS HEALTH GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: BAPTIST HEALTH FAMILY CLINIC MAUMELLE
  • CLIA Number: 04D0466687
  • Address: 1701 CLUB MANOR DR
    SUITE 2
    MAUMELLE, AR
    ZIP 72113
  • Phone: (501) 851-7400

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NPI Details

ARKANSAS HEALTH GROUP is a family medicine in Maumelle, 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. ARKANSAS HEALTH GROUP NPI is 1124037866. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Baptist Health Family Clinic Maumelle.

The provider's business location address is:

1701 CLUB MANOR DR
SUITE 2
MAUMELLE, AR
ZIP 72113-400
Phone: (501) 851-7400
Fax: (501) 851-4753

The provider's authorized official is Will L Rusher .
The authorized official title is Ceo and has the following contact phone number (501) 812-7500.

The CLIA number assigned to this NPI record is 04D0466687 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/11/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1129802002MEDICAIDARKANSAS

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: 3/30/2025

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