Organization
PHYSICIANS' SPECIALTY HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. D RUSS GREENE R.N. (CHIEF EXECUTIVE OFFICER)
(479) 571-7070
Entity
Organization
Contact information
Practice address
3873 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6286
(479) 571-7070
(479) 571-7090
Mailing address
3873 N PARKVIEW DR, FAYETTEVILLE, AR 72703-6286
(479) 571-7070
(479) 571-7090
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10152
BCBS
AR
05
—
180190105
—
AR
01
—
5G268
OUTPATIENT MEDICARE
AR
01
—
DP6121
RAILROAD MEDICARE
AR
Enumeration date
10/01/2008
Last updated
06/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us