# UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF ARKANSAS MEDICAL SCIENCES
- **Other names:** UAMS Capitol Mall Neighborhood Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932872975
- **Legal business name:** UNIVERSITY OF ARKANSAS MEDICAL SCIENCES
- **Authorized official:** AMANDA GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
- **Authorized official phone:** (501) 686-5670

## Contact information

- **Practice address:** 1401 W CAPITOL AVE, LITTLE ROCK, AR 72201
- **Practice address phone:** (501) 686-8000
- **Practice address fax:** (501) 526-5148
- **Mailing address:** PO BOX 251420, LITTLE ROCK, AR 72225-1420
- **Mailing address phone:** (501) 686-8000
- **Mailing address fax:** (501) 526-5148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/27/2021
- **Last updated:** 07/12/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 278152081 | — | AR |
