# RUSSELLVILLE HOLDINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RUSSELLVILLE HOLDINGS LLC
- **Other names:** Valley Health Services of Hector
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932150943
- **Legal business name:** RUSSELLVILLE HOLDINGS LLC
- **Authorized official:** TERRANCE DILLON (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7220

## Contact information

- **Practice address:** 11720 SR 27, HECTOR, AR 72843-8712
- **Practice address phone:** (479) 284-5001
- **Practice address fax:** (479) 284-4210
- **Mailing address:** 11720 SR 27, HECTOR, AR 72843-8712
- **Mailing address phone:** (479) 968-2841
- **Mailing address fax:** (479) 968-8189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 4192 | AR | Yes |
| 363LF0000X | Family Nurse Practitioner | A001233 | AR | — |

## Other

- **Enumeration date:** 05/14/2006
- **Last updated:** 04/11/2022