St Marys Physician Services LLC

Key facts

NPI: 1225920515
Entity type: Organization (NPI type 2)
Primary specialty: Rural Health Clinic/Center 261QR1300X
Legal business name: ST MARYS PHYSICIAN SERVICES LLC
Practice address: 8970 Market St
Dover, AR 72837-9110
Phone: (479) 331-3880
Fax: (479) 331-3376
NPI assigned: Jul 19, 2025
Organization subpart: No

Authorized official

Name: Charlotte Lawrence
Title: Secretary
Phone: (615) 920-7000

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

St Marys Physician Services LLC Rural Health Clinic/Center · Russellville, AR · NPI 1396637682

NPD tax ID
St Marys Physician Services LLC Rural Health Clinic/Center · Russellville, AR · NPI 1750273041

NPD tax ID
St Marys Physician Services, LLC Durable Medical Equipment & Medical Supplies · Russellville, AR · NPI 1063626117

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

William Robert Thurlby, MD Internal Medicine Physician · Dover, AR · NPI 1962468629

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
04D0899252	Millard Henry Clinic 8970 Market Street, Dover, AR 72837	Compliance	Dec 28, 2026

National Provider Directory

Tax ID family: St Marys Physician SVCS LLC (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Rural Health Clinic/Center	261QR1300X			Yes

Addresses

Primary practice location

8970 Market St
Dover, AR 72837-9110

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names

Millard-Henry Clinic of Dover Doing business as

Other providers in Dover, AR

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.