NPIMap

Saline Clinics LLC

Organization Active NPI Gastroenterology Physician · Benton, AR

NPI 1447609367 · NPPES record last updated Oct 19, 2024

Key facts

NPI
1447609367
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
SALINE CLINICS LLC
Practice address
1 Medical Park Dr
Benton, AR 72015-3353
Phone
(501) 776-6093
Fax
(501) 776-6271
NPI assigned
Jun 10, 2016
Organization subpart
No

Authorized official

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

Practitioners 69

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

View all 69

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20160725001118 AR Part B Supplier - Clinic/Group Practice 0547553836 Receives reassigned benefits from 67 practitioners
Practice locations: Benton, AR; Russellville, AR; Little Rock, AR; Hot Springs, AR; El Dorado, AR; Bryant, AR

National Provider Directory

Locations

5 Medical Park Dr
Ste 100
Benton, AR 72015

3 Medical Park Dr
Ste 100C
Benton, AR 72015

3 Medical Park Dr
Benton, AR 72015
Phone (501) 778-1113

5 Medical Park Dr
Ste 301
Benton, AR 72015

3 Medical Park Dr
Ste GL100
Benton, AR 72015

3 Medical Park Dr
Ste 301
Benton, AR 72015
Phone (501) 315-8818

5 Medical Park Dr
Ste GL2
Benton, AR 72015
Phone (501) 778-1000

3412 Market Place Ave
Ste B
Bryant, AR 72022

3412 Market Place Ave
#B
Bryant, AR 72022
Phone (501) 653-0353

3412 Market Place Ave
Ste A
Bryant, AR 72022

3412 Market Place Ave
#A
Bryant, AR 72022
Phone (501) 847-0834

101 Skyline Dr
Ste 303
Russellville, AR 72801

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Gastroenterology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207RG0100X Yes
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VG0400X
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207X00000X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208M00000X

Addresses

Primary practice location

1 Medical Park Dr
Benton, AR 72015-3353

Mailing address

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6093

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 19, 2024.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1447609367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6093",
            "fax_number": "501-776-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

All providers in Benton, AR · Gastroenterology Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.