# RUSSELLVILLE HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSSELLVILLE HOLDINGS LLC
- **Other names:** Saint Mary's Regional Medical Center Rehab
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376595132
- **Legal business name:** RUSSELLVILLE HOLDINGS LLC
- **Authorized official:** CHARLOTTE LAWRENCE (SECRETARY)
- **Authorized official phone:** (615) 920-7000

## Contact information

- **Practice address:** 1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
- **Practice address phone:** (479) 968-2841
- **Practice address fax:** (479) 968-8189
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 4192 | AR | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/31/2023