St Mary'S Physician Services Llc in Russellville - Internal Medicine
St Mary'S Physician Services Llc - NPI 1124084991
St Mary'S Physician Services Llc is a Internal Medicine in Russellville, Arkansas. St Mary'S Physician Services Llc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for St Mary'S Physician Services Llc is 1124084991. The last update date is 2023-02-07.
St Mary'S Physician Services Llc's current location address is 101 Skyline Dr, Russellville, Arkansas. You can contact this provider via phone number 4799682345. The mailing address for St Mary'S Physician Services Llc is 101 Skyline Dr, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St Mary'S Physician Services Llc |
|---|---|
| Address | 101 Skyline Dr, Russellville, Arkansas |
| Phone Number | 4799682345 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bowman Monic |
| Telephone Number | 6159207000 |
NPI Number Detail
| NPI Number | 1124084991 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2023-02-07 |
Provider Mailing Address Detail
| Address | 101 Skyline Dr |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728013363 |
| Phone Number | 4799682345 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DA8026 | RAILROAD MEDICARE PTAN | ||
| 152955002 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to St Mary'S Physician Services Llc by the Centers for Medicare & Medicaid Services?
The St Mary'S Physician Services Llc has been issued the NPI (National Provider Identifier) 1124084991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of St Mary'S Physician Services Llc?
The St Mary'S Physician Services Llc is physically situated at 101 Skyline Dr, in the city of Russellville, state of AR, with the postal code 728013363.
What is St Mary'S Physician Services Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for St Mary'S Physician Services Llc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124084991 to St Mary'S Physician Services Llc?
The Centers for Medicare & Medicaid Services assigned the 1124084991 to St Mary'S Physician Services Llc on 2006-04-21.
As of what date was the information regarding St Mary'S Physician Services Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to St Mary'S Physician Services Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-02-07.