NPIMap

Organization Active NPI

QHG of Springdale, Inc.

  • Psychologist
  • Fayettevill, AR
National Provider Identifier
1699796342
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
AR4112 Issued in AR
Legal business name
QHG OF SPRINGDALE, INC.
Practice address
3715 N Bus Dr
Suite 104
Fayettevill, AR 72703
Phone
(479) 757-4000
Fax
(479) 757-2908
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Rebecca Hurley
Title
Senior Vice President
Phone
(214) 473-3993

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X AR4112 AR Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X AR4112 AR
Multi-Specialty Clinic/Center 261QM1300X AR4112 AR

Addresses

Primary practice location

3715 N Bus Dr
Suite 104
Fayettevill, AR 72703

Mailing address

PO Box 7360
Springdale, AR 72766-7360
Phone (479) 757-4000

Other names 1

  • Northwest Senior Health Centers - Springdale Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699796342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7360",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727667360",
            "telephone_number": "479-757-4000",
            "fax_number": "479-757-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N BUS DR",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILL",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-757-4000",
            "fax_number": "479-757-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF SPRINGDALE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "214-473-3993"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AR",
            "license": "AR4112",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "AR4112",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "AR",
            "license": "AR4112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Senior Health Centers - Springdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.