# REGIONAL ORTHOPAEDIC HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Twin Lakes Orthopaedics & Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568477123
- **Authorized official:** RUSSELL B. RAULS MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (870) 424-3400

## Contact information

- **Practice address:** 3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
- **Practice address phone:** (870) 424-3400
- **Practice address fax:** (870) 424-4121
- **Mailing address:** 3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
- **Mailing address phone:** (870) 424-3400
- **Mailing address fax:** (870) 424-4121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 09/09/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138975002 | — | AR |
| 01 | — | 5B111 | BCBS | AR |
| 01 | — | CG0920 | RR MEDICARE | AR |