Russell B Allison MD PA

Organization Active NPI Rural Health Clinic/Center · Pottsville, AR

NPI 1114277993 · NPPES record last updated Feb 11, 2015

Key facts

NPI
1114277993
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
RUSSELL B ALLISON MD PA
Practice address
5395 W Ash St
Pottsville, AR 72858-9170
Phone
(479) 880-1118
Fax
(479) 880-1120
NPI assigned
Sep 19, 2012
Organization subpart
No

Authorized official

Name
Carol Townsend, NPA
Title
Nurse Pracitioner
Phone
(479) 880-1118

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X A01298 ANP AR

Addresses

Primary practice location

5395 W Ash St
Pottsville, AR 72858-9170

Mailing address

PO Box 1146
Russellville, AR 72811-1146
Phone (479) 890-9292

Other names

  • Pottsville Primary Care Doing business as

Other providers in Pottsville, AR

All providers in Pottsville, AR · Rural Health Clinic/Center in Arkansas

Sources for this page

Verify at the official NPI Registry.