BAPTIST HEALTH FAMILY CLINIC PROTHO NPI 1710225545

NPI Information

NPI: 1710225545
Provider Name: BAPTIST HEALTH FAMILY CLINIC PROTHO
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5207 E BROADWAY ST
NORTH LITTLE ROCK, AR
ZIP 72117
Phone: (501) 945-2033
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BAPTIST HEALTH FAMILY CLINIC PROTHO is a primary care clinic center in North Little Rock, AR. BAPTIST HEALTH FAMILY CLINIC PROTHO NPI is 1710225545. The provider is registered as an organization entity type.

The provider's business location address is:

5207 E BROADWAY ST
NORTH LITTLE ROCK, AR
ZIP 72117-029
Phone: (501) 945-2033
Fax: (501) 945-2303

The provider's authorized official is Will Rusher .
The authorized official title is Ceo and has the following contact phone number (501) 812-7512.

The enumeration date for this NPI number is 1/29/2013 and was last updated on 1/29/2013.

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	261QP2300X	Clinic/Center	Primary Care	R2917	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	1048721002	MEDICAID	ARKANSAS
2	B90483	MEDICARE UPIN	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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