Elite Medical Connections, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ELITE MEDICAL CONNECTIONS, LLC

Practice address

1023 Skyline Drive
Alexander, AR 72002

Phone

(870) 378-6311

Fax

(501) 407-0585

NPI assigned

Apr 7, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Terry Michael Rutledge, RRT

Title

RRT/Ceo

Phone

(870) 378-6311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1659696276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 SKYLINE DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021749",
            "telephone_number": "870-378-6311",
            "fax_number": "501-407-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 SKYLINE DRIVE",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "72002",
            "telephone_number": "870-378-6311",
            "fax_number": "501-407-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "RRT/CEO",
        "authorized_official_telephone_number": "870-378-6311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Alexander, AR
• Providers in Alexander, AR by specialty
• Preferred Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.