Organization
ARKANSAS HEALTH GROUP
Active
Other names
Sherwood Family Medicial Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILL L RUSHER (CEO)
(501) 812-7500
Entity
Organization
Contact information
Practice address
1308 E KIEHL AVE, SHERWOOD, AR 72120-3040
(501) 835-0703
(501) 833-1716
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128322002
—
AR
01
—
57064
BLUE CROSS GROUP
AR
Enumeration date
06/06/2006
Last updated
04/11/2019
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