Russellville Gastroenterology Clinic Pa in Russellville - Medical Specialty
Russellville Gastroenterology Clinic Pa - NPI 1750579488
Russellville Gastroenterology Clinic Pa is a Medical Specialty in Russellville, Arkansas. Russellville Gastroenterology Clinic Pa practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Russellville Gastroenterology Clinic Pa is 1750579488. The last update date is 2015-01-22.
Russellville Gastroenterology Clinic Pa's current location address is 1611 W Main St, Russellville, Arkansas. You can contact this provider via phone number 4798905881 and fax number 4798905092. The mailing address for Russellville Gastroenterology Clinic Pa is 1611 W Main St, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russellville Gastroenterology Clinic Pa |
|---|---|
| Address | 1611 W Main St, Russellville, Arkansas |
| Phone Number | 4798905881 |
| Fax Number | 4798905092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Robertson Denise |
| Telephone Number | 4798905881 |
NPI Number Detail
| NPI Number | 1750579488 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2015-01-22 |
Provider Mailing Address Detail
| Address | 1611 W Main St |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728012719 |
| Phone Number | 4798905881 |
| Fax Number | 4798905092 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 112265001 | AR | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Russellville Gastroenterology Clinic Pa by the Centers for Medicare & Medicaid Services?
The Russellville Gastroenterology Clinic Pa has been issued the NPI (National Provider Identifier) 1750579488. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russellville Gastroenterology Clinic Pa is located?
The Russellville Gastroenterology Clinic Pa is situated at the following address: 1611 W Main St, Russellville, AR, 728012719.
What is Russellville Gastroenterology Clinic Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Russellville Gastroenterology Clinic Pa is Medical Specialty, and the taxonomy classification code that categorizes this area of expertise is 261Qm2500X.
On what date was the 1750579488 assigned to Russellville Gastroenterology Clinic Pa?
The Russellville Gastroenterology Clinic Pa was issued its 1750579488 on 2007-10-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Russellville Gastroenterology Clinic Pa's information last updated?
The Russellville Gastroenterology Clinic Pa's information was last updated on 2015-01-22.
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