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Contact Information

RUSSELL MEDICAL SERVICES PLLC
5071 HIGHWAY 82 E
LAKE VILLAGE, AR71653
 Phone: 870-515-1289
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for RUSSELL MEDICAL SERVICES PLLC

NPI Number 1689120263
LBN Legal business name RUSSELL MEDICAL SERVICES PLLC
Authorized official JOHN RUSSELL - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Identifiers
AS License # C4971
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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