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Contact Information

RUSSELLVILLE CARE CENTER INC
215 SOUTH PORTLAND AVENUE
RUSSELLVILLE, AR72801
 Phone: 479-968-5256
 Fax: 479-968-5964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for RUSSELLVILLE CARE CENTER INC

NPI Number 1871581736
LBN Legal business name RUSSELLVILLE CARE CENTER INC
Authorized official MICHAEL MORTON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2005
Last updated 05/28/2020 - About 6 years ago
Identifiers
AR License # 819
AR Medicaid 160671311
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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