Organization
ARKANSAS HEALTH GROUP
Active
Other names
Baptist Health Family Clinic Malvern
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL L RUSHER (CEO)
(501) 812-7500
Entity
Organization
Contact information
Practice address
1234 S MAIN ST, MALVERN, AR 72104-5226
(501) 337-9066
(501) 332-5265
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7800
(501) 812-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128273002
—
AR
01
—
5183071
AETNA
AR
Enumeration date
03/14/2006
Last updated
04/11/2019
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