ICP ARKANSAS ACO BILLING LLC NPI 1679157838

NPI Information

ICP ARKANSAS ACO BILLING LLC is a clinical nurse specialist in Maumelle, AR. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. ICP ARKANSAS ACO BILLING LLC NPI is 1679157838. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8060 COUNTS MASSIE RD STE B
MAUMELLE, AR
ZIP 72113-657
Phone: (501) 492-0099
Fax: (479) 968-1673

The provider's authorized official is Rodney Thomason .
The authorized official title is Authorized Official and has the following contact phone number (501) 406-6180.

The enumeration date for this NPI number is 5/12/2021 and was last updated on 5/12/2021.

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:

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.