Active NPI
Saline Physician Services, LLC
- Cardiovascular Disease Physician
- Benton, AR
National Provider Identifier
1780913822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SALINE PHYSICIAN SERVICES, LLC
- Practice address
- 1 Medical Park Dr
Benton, AR 72015-3353 - Phone
- (501) 776-6381
- Fax
- (501) 776-6350
- NPI assigned
- Dec 21, 2009
- Organization subpart
- Yes
- Parent organization
- SALINE PHYSICIAN SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry Don Alford
- Title
- Cfo
- Phone
- (501) 776-6015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | AR | Primary |
Addresses
Primary practice location
1 Medical Park Dr
Benton, AR 72015-3353
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181230002 | Medicaid | AR |
Other names 1
- SALINE MEMORIAL HOSPITAL SERVICES
National Provider Directory
National Provider Directory- Part of
- Central Arkansas Spine Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285718400000",
"number": "1780913822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-0834"
},
{
"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": "501-776-6381",
"fax_number": "501-776-6350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALINE PHYSICIAN SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SALINE PHYSICIAN SERVICES, LLC",
"enumeration_date": "2009-12-21",
"last_updated": "2010-09-29",
"status": "A",
"authorized_official_last_name": "ALFORD",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "DON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "501-776-6015",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181230002",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SALINE MEMORIAL HOSPITAL SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.