Organization
ARKANSAS PHS PA
Active
Parent organization
PROVIDER HEALTH SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROVIDER HEALTH SERVICES LLC
Authorized official
NICOLE HOWARD (CFO)
(337) 991-9276
Entity
Organization
Contact information
Practice address
609 SW 8TH STREET, SUITE 600, BENTONVILLE, AR 72712-8913
(901) 261-4848
(901) 261-4849
Mailing address
1509 DULLES DRIVE, LAFAYETTE, LA 70506
(337) 991-9276
(337) 991-9288
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190440762
—
AR
Enumeration date
08/03/2009
Last updated
07/02/2014
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