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ST MARYS PHYSICIAN SERVICES LLC NPI 1720356207


NPI Information

NPI: 1720356207
Provider Name: ST MARYS PHYSICIAN SERVICES, LLC

Doing Business As: CARDIOLOGY ASSOCIATES OF NORTH CENTRAL ARKANSAS

Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

CLIA Number: 04D2255950

Address:
2205 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801
Phone: (479) 968-4311
Get Directions

ST MARYS PHYSICIAN SERVICES, LLC is an interventional cardiology internal medicine in Russellville, AR. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. ST MARYS PHYSICIAN SERVICES, LLC NPI is 1720356207. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cardiology Associates Of North Central Arkansas.

The provider's business location address is:

2205 W MAIN ST
RUSSELLVILLE, AR
ZIP 72801-759
Phone: (479) 968-4311
Fax: (479) 968-4399

The provider's authorized official is Monica Bowman .
The authorized official title is President and has the following contact phone number (615) 920-7000.

The CLIA number assigned to this NPI record is 04D2255950 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2011 and was last updated on 2/7/2023.


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
1207RI0011XInternal MedicineInterventional CardiologyYes

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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