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SALINE PHYSICIAN SERVICES LLC NPI 1780855437


NPI Information

NPI: 1780855437
Provider Name: SALINE PHYSICIAN SERVICES, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1 MEDICAL PARK DR
BENTON, AR
ZIP 72015
Phone: (501) 776-6093
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SALINE PHYSICIAN SERVICES, LLC is a family nurse practitioner in Benton, AR. SALINE PHYSICIAN SERVICES, LLC NPI is 1780855437. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 MEDICAL PARK DR
BENTON, AR
ZIP 72015-353
Phone: (501) 776-6093
Fax: (501) 776-6019

The provider's authorized official is Kim A Titsworth .
The authorized official title is Director, Physician Services and has the following contact phone number (501) 776-6093.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 1/28/2011.


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
1363LF0000XNurse PractitionerFamilyYes

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
15G433MEDICARE PINARKANSAS

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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