| Russellville Holdings, Llc | |
|
11720 State Route 27 Hector AR 72843 | |
| (479) 284-5001 | |
| Not Available |
| Full Name | Russellville Holdings, Llc |
|---|---|
| Speciality | General Practice |
| Location | 11720 State Route 27, Hector, Arkansas |
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) |
| Authorized Official Contact | 5025967220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russellville Holdings, Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: () - | Russellville Holdings, Llc 11720 State Route 27 Hector AR 72843 Ph: (479) 284-5001 |
| NPI Number | 1013100890 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013100890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |