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Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
UAMS West
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
(501) 686-5670
Entity
Organization
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04D0469117
AR
261QC1500X
Community Health Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181731
—
MS
05
—
100699100A
—
OK
05
—
303413002
—
AR
01
—
57231
BLUE CROSS/BLUE SHIELD
AR
01
—
CI3968
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
11/19/2024
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