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Contact Information

MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
3336 N FUTRALL DR
FAYETTEVILLE, AR72703-4057
 Phone: 479-571-4541
 Fax: 479-571-4340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA

NPI Number 1235182064
LBN Legal business name MEDICAL ASSOCIATES OF NORTHWEST ARKANSAS PA
Authorized official TERRY HURT - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2006
Last updated 04/11/2025 - More than a year ago
Identifiers
AR Medicaid 160068002
AR Other 5F503 AR BLUE CROSS/BLUE SHIELD
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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