# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Other names:** Family Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457320780
- **Legal business name:** UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
- **Authorized official:** AMANDA GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
- **Authorized official phone:** (501) 686-5670

## Contact information

- **Practice address:** 1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
- **Practice address phone:** (479) 521-8260
- **Practice address fax:** (479) 443-3903
- **Mailing address:** 1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
- **Mailing address phone:** (479) 521-8260
- **Mailing address fax:** (479) 443-3903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 11/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 305248002 | — | AR |
| 01 | — | 56997 | AR BCBS | AR |
| 01 | — | 770033568 | AR BREAST CARE | AR |