NPIMap

Organization Active NPI

University of Arkansas

  • Multi-Specialty Clinic/Center
  • Fayetteville, AR
National Provider Identifier
1619908787
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF ARKANSAS
Practice address
525 N Garland Ave
Fayetteville, AR 72701-3110
Phone
(479) 575-6479
NPI assigned
Jul 6, 2006
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Anjanette Olsen, RHIA, MED
Title
Director of Medical Services
Phone
(479) 575-4476

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

525 N Garland Ave
Fayetteville, AR 72701-3110

Mailing address

525 N Garland Ave
1 University of Arkansas
Fayetteville, AR 72701-3110
Phone (479) 575-6479

Other names 1

  • Pat Walker Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000551 AR Part B Supplier - Clinic/Group Practice 1951391630 Receives reassigned benefits from 12 practitioners
1 other NPI on this enrollment
Practice locations: Fayetteville, AR

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
University of Arkansas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1 University of Arkansas
Fayetteville, AR 72701
Phone (479) 575-2000

525 N Garland Ave
#B
Fayetteville, AR 72701

600 N Razorback Rd
Fayetteville, AR 72701
Phone (479) 575-4077

606 N Razorback Rd
Fayetteville, AR 72701
Phone (479) 575-4509

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1619908787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N GARLAND AVE",
            "address_2": "1 UNIVERSITY OF ARKANSAS",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013110",
            "telephone_number": "479-575-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N GARLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013110",
            "telephone_number": "479-575-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "ANJANETTE",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "479-575-4476",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RHIA, MED"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pat Walker Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.