Active NPI
Arkansas Family Care Network
Doing business as Russellville Pediatric & Adolescent Clinic
- Pediatrics Physician
- Russellville, AR
National Provider Identifier
1285145169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ARKANSAS FAMILY CARE NETWORK
- Doing business as
- Russellville Pediatric & Adolescent Clinic
- Practice address
- 220 N Sidney Ave
Russellville, AR 72801-4389 - Phone
- (479) 498-0858
- Fax
- (479) 498-0809
- NPI assigned
- Oct 18, 2017
- Last updated
- Oct 18, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeff Erwin
- Title
- Ceo
- Phone
- (501) 224-1690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
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 names 1
- RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC
National Provider Directory
National Provider Directory- Tax ID family
- Arkansas Family Care Network
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dennis Davidson Clinic
- Family Medicine Physician
- Batesville, AR
- NPI 1043277189
-
dba Little Rock Family Practice - Central
- Family Medicine Physician
- Little Rock, AR
- NPI 1336396407
Locations
220 N Sidney Ave
Russellville, AR 72801
Phone (479) 498-0858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508284800000",
"number": "1285145169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N SIDNEY AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728014389",
"telephone_number": "479-498-0858",
"fax_number": "479-498-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N SIDNEY AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728014389",
"telephone_number": "479-498-0858",
"fax_number": "479-498-0809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARKANSAS FAMILY CARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-18",
"last_updated": "2017-10-18",
"status": "A",
"authorized_official_last_name": "ERWIN",
"authorized_official_first_name": "JEFF",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "501-224-1690"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "RUSSELLVILLE PEDIATRIC & ADOLESCENT CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Russellville, AR
- Arcare (ARcare 98)
- Area Agency on Aging of Western Ar, Inc
- Magally Lizeth Arellano
- Arkansas CVS Pharmacy LLC (CVS Pharmacy 11093)
- Arkansas Emergency Physician Associates, P.a.
- Arkansas Foot Care Clinic, Inc (Aquilar Foot Care Clinic)
- Arkansas Health Group (Baptist Health Family Clinic - Russellville)
- Arkansas Hospice, Inc. (LifeTouch Health Hospice Care)
- Arkansas Liver and Gastroenterology, P.a.
- Arkansas Nephrology Services, LTD. (River Valley Kidney Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.