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ARKANSAS HEALTH GROUP NPI 1649518333


NPI Information

NPI: 1649518333
Provider Name: ARKANSAS HEALTH GROUP

Doing Business As: BAPTIST HEALTH FAMILY CLINIC OTTER CREEK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 04D0725053

Address:
11321 INTERSTATE 30 STE 101
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 455-1331
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ARKANSAS HEALTH GROUP is a family medicine in Little Rock, 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 1649518333. 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 Otter Creek.

The provider's business location address is:

11321 INTERSTATE 30 STE 101
LITTLE ROCK, AR
ZIP 72209-064
Phone: (501) 455-1331

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 04D0725053 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/30/2013 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110127001MEDICAIDARKANSAS

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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