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Contact Information

ARKANSAS FAMILY CARE NETWORK
220 N SIDNEY AVE
RUSSELLVILLE, AR72801-4389
 Phone: 479-498-0858
 Fax: 479-498-0809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ARKANSAS FAMILY CARE NETWORK · (Female)

NPI # 1285145169
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2017
Last updated 10/18/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • AR Medicaid 213751002
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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