Organization
UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Active
Other names
UAMS West
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA GEORGE (VICE CHANCELLOR-CHIEF FINANCIAL OFF)
(501) 686-5670
Entity
Organization
Contact information
Practice address
1301 S E ST, FORT SMITH, AR 72901-4716
(479) 785-2431
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04D0469117
AR
261QC1500X
Community Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181731
—
MS
05
—
100699100A
—
OK
05
—
303413002
—
AR
01
—
57231
BLUE CROSS/BLUE SHIELD
AR
01
—
CI3968
RAILROAD MEDICARE
—
Enumeration date
06/09/2005
Last updated
11/19/2024
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