| Russellville Holdings Llc | |
|
11720 Sr 27 Hector AR 72843-8712 | |
| (479) 284-5001 | |
| (479) 284-4210 |
| Full Name | Russellville Holdings Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 11720 Sr 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 11720 Sr 27 Hector AR 72843-8712 Ph: (479) 968-2841 | Russellville Holdings Llc 11720 Sr 27 Hector AR 72843-8712 Ph: (479) 284-5001 |
| NPI Number | 1932150943 |
|---|---|
| Provider Enumeration Date | 05/14/2006 |
| Last Update Date | 04/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932150943 | NPI | - | NPPES |
| 182331729 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 4192 (Arkansas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | A001233 (Arkansas) | Secondary |
Russellville Holdings, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11720 State Route 27, Hector, AR 72843 Phone: 479-284-5001 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11720 Sr 27, Hector, AR 72843 Phone: 870-347-2534 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11520 Sr 27, Hector, AR 72843 Phone: 479-284-2213 |