Arkansas Family Care Network
Organization Active NPI Pediatrics Physician · Russellville, AR
NPI 1285145169 · NPPES record last updated Oct 18, 2017
Key facts
- NPI
- 1285145169
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ARKANSAS FAMILY CARE NETWORK
- Practice address
- 220 N Sidney Ave
Russellville, AR 72801-4389 - Phone
- (479) 498-0858
- Fax
- (479) 498-0809
- NPI assigned
- Oct 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Jeff Erwin
- Title
- Ceo
- Phone
- (501) 224-1690
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Arkansas Family Care Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
220 N Sidney Ave
Russellville, AR 72801-4389
Mailing address
220 N Sidney Ave
Russellville, AR 72801-4389
Phone (479) 498-0858
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213751002 | Medicaid | AR |
Other names
- RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC
Other providers in Russellville, AR
- Arcare
- Area Agency on Aging of Western Ar, Inc
- Magally Lizeth Arellano
- Arkansas CVS Pharmacy LLC
- Arkansas Emergency Physician Associates, P.a.
- Arkansas Foot Care Clinic, Inc
- Arkansas Health Group
- Arkansas Hospice, Inc.
- Arkansas Liver and Gastroenterology, P.a.
- Arkansas Nephrology Services, LTD.
All providers in Russellville, AR · Pediatrics Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.