Organization
SILOAM SPRINGS CLINIC COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization
Contact information
Practice address
3721 HIGHWAY 412 E STE A, SILOAM SPRINGS, AR 72761-8010
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
AR
207P00000X
Emergency Medicine Physician
—
AR
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
AR
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013155431
AR BCBS
AR
05
—
1013155431
—
MO
05
—
176101002
—
AR
05
—
200237720A
—
OK
Enumeration date
01/22/2009
Last updated
03/19/2025
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