# ARKANSAS HEALTH GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Health Family Clinic - Russellville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780367060
- **Authorized official:** WILL RUSHER (CEO)
- **Authorized official phone:** (501) 812-7215

## Contact information

- **Practice address:** 1605 W MAIN ST STE 2719, RUSSELLVILLE, AR 72801-2719
- **Practice address phone:** (479) 219-5008
- **Practice address fax:** (479) 219-5025
- **Mailing address:** 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
- **Mailing address phone:** (501) 812-7215
- **Mailing address fax:** (501) 812-7207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/11/2023
- **Last updated:** 08/11/2023
