# ARKANSAS HEALTH GROUP

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

## Provider details

- **NPI number:** 1831289214
- **Authorized official:** WILL L RUSHER (CEO)
- **Authorized official phone:** (501) 812-7500

## Contact information

- **Practice address:** 518 N FOURCHE AVE, PERRYVILLE, AR 72126-9701
- **Practice address phone:** (501) 889-5543
- **Practice address fax:** (501) 889-5546
- **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 |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 04/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128272002 | — | AR |
| 01 | — | 5388075 | AETNA | AR |
