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ARKANSAS HEALTH GROUP NPI 1790721157


NPI Information

NPI: 1790721157
Provider Name: ARKANSAS HEALTH GROUP

Doing Business As: BAPTIST HEALTH FAMILY CLINIC BAPTIST HEALTH DRIVE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 04D0946816

Address:
9600 BAPTIST HEALTH DR
SUITE 210
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 217-0500
Get Directions

ARKANSAS HEALTH GROUP is a health service clinic center in Little Rock, AR. ARKANSAS HEALTH GROUP NPI is 1790721157. The provider is registered as an organization entity type.
The provider Is Doing Business As Baptist Health Family Clinic Baptist Health Drive.

The provider's business location address is:

9600 BAPTIST HEALTH DR
SUITE 210
LITTLE ROCK, AR
ZIP 72205-326
Phone: (501) 217-0500
Fax: (501) 217-9400

The provider's authorized official is Will L Rusher .
The authorized official title is Ceo and has the following contact phone number (501) 812-7500.

The CLIA number assigned to this NPI record is 04D0946816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 4/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0100XClinic/CenterHealth ServiceYes

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
15981042OTHERPENNSYLVANIAAETNA
2134246002MEDICAIDARKANSAS

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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