Organization
SALINE PHYSICIAN SERVICES, LLC
Active
Organization
SALINE PHYSICIAN SERVICES, LLC
Active
Parent organization
SALINE PHYSICIAN SERVICES, LLC
Other names
SALINE MEMORIAL HOSPITAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SALINE PHYSICIAN SERVICES, LLC
Authorized official
MR. LARRY DON ALFORD (CFO)
(501) 776-6015
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, BENTON, AR 72015-3353
(501) 776-6381
(501) 776-6350
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181230002
—
AR
Enumeration date
12/21/2009
Last updated
09/29/2010
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