| Ach Physician Services | |
|
1 Childrens Way # 653 Little Rock AR 72202 | |
| (501) 364-1100 | |
| (501) 526-6562 |
| Full Name | Ach Physician Services |
|---|---|
| Speciality | General Practice |
| Location | 1 Childrens Way # 653, Little Rock, Arkansas |
| Authorized Official Name and Position | Amanda D George (ASSOCIATE VC FOR CLINICAL FINANCE) |
| Authorized Official Contact | 5016866633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ach Physician Services 1 Childrens Way # 653 Little Rock AR 72202-3500 Ph: (501) 364-1100 | Ach Physician Services 1 Childrens Way # 653 Little Rock AR 72202 Ph: (501) 364-1100 |
| NPI Number | 1336533041 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 06/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336533041 | NPI | - | NPPES |
| 154298002 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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