Organization
RUSSELLVILLE HOLDINGS LLC
Active
Other names
St . Mary's Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE LAWRENCE (SECRETARY)
(615) 920-7000
Entity
Organization
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 968-2841
(479) 968-8189
Mailing address
103 CONTINENTAL PL, SUITE 200, BRENTWOOD, TN 37027-1041
(615) 844-9800
(615) 844-9883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
4192
AR
282N00000X
General Acute Care Hospital
Primary
4192
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152329105
—
AR
Enumeration date
05/14/2006
Last updated
07/31/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us