Organization
BAPTIST HEALTH FAMILY CLINIC PROTHO
Active
Parent organization
ARKANSAS HEALTH GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARKANSAS HEALTH GROUP
Authorized official
MR. WILL RUSHER (CEO)
(501) 812-7512
Entity
Organization
Contact information
Practice address
5207 E BROADWAY ST, NORTH LITTLE ROCK, AR 72117-4029
(501) 945-2033
(501) 945-2303
Mailing address
11001 EXECUTIVE CENTER DR, SUITE 200, LITTLE ROCK, AR 72211-4316
(501) 812-7512
(501) 812-7507
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R2917
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1048721002
—
AR
Enumeration date
01/29/2013
Last updated
01/29/2013
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