Organization
ST. ANTHONY'S HOSPITAL ASSOCIATION
Active
Other names
CHI St. Vincent Primary Care-Morrilton
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY R HOGAN (PRACTICE MANAGER)
(501) 354-4637
Entity
Organization
Contact information
Practice address
1711 E HARDING ST, MORRILTON, AR 72110-4507
(501) 354-4637
(501) 552-5326
Mailing address
1711 E HARDING ST, MORRILTON, AR 72110-4507
(501) 354-4637
(501) 552-5326
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C5434
AR
207RC0000X
Cardiovascular Disease Physician
N5860
AR
261QR1300X
Rural Health Clinic/Center
Primary
—
AR
363LF0000X
Family Nurse Practitioner
A01404
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134783729
—
AR
Enumeration date
01/06/2006
Last updated
09/06/2023
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