# ARKANSAS HEALTH GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARKANSAS HEALTH GROUP
- **Other names:** Baptist Health Family Clinic- Bryant
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609849710
- **Legal business name:** ARKANSAS HEALTH GROUP
- **Authorized official:** MR. WILL L RUSHER (CEO)
- **Authorized official phone:** (501) 812-7500

## Contact information

- **Practice address:** 4411 HIGHWAY 5 N, BRYANT, AR 72022-7005
- **Practice address phone:** (501) 847-0289
- **Mailing address:** 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
- **Mailing address phone:** (501) 812-7800
- **Mailing address fax:** (501) 812-7777

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 04/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128284002 | — | AR |
| 01 | — | 5738040 | AETNA | AR |
| 01 | — | 5B520 | BCBS | AR |
| 01 | — | 71067816050 | QUALCHOICE | — |