RADIOLOGISTS OF RUSSELLVILLE PA NPI 1699744326

NPI Information

NPI: 1699744326
Provider Name: RADIOLOGISTS OF RUSSELLVILLE PA
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3301 W MAIN PL
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-7930
Get Directions

RADIOLOGISTS OF RUSSELLVILLE PA is a diagnostic radiology radiology in Russellville, AR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGISTS OF RUSSELLVILLE PA NPI is 1699744326. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3301 W MAIN PL
RUSSELLVILLE, AR
ZIP 72801-334
Phone: (479) 968-7930
Fax: (479) 968-1673

The provider's authorized official is Jeffrey Hale .
The authorized official title is President Partner and has the following contact phone number (479) 968-7930.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 1/11/2019.

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
1	2085R0202X	Radiology	Diagnostic Radiology		ARKANSAS	Yes

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
1	103880002	MEDICAID	ARKANSAS
2	56763	OTHER	ARKANSAS	ARKANSAS BCBS

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

NPI Synchronization or Removal

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