| Baptist Health Downtown Care | |
|
401 W Capitol Ave Ste 101b Little Rock AR 72201-3421 | |
| (501) 374-2629 | |
| (501) 374-2655 |
| Full Name | Baptist Health Downtown Care |
|---|---|
| Speciality | Family Medicine |
| Location | 401 W Capitol Ave Ste 101b, Little Rock, Arkansas |
| Authorized Official Name and Position | Will Rusher (CEO) |
| Authorized Official Contact | 5018127500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Downtown Care 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Downtown Care 401 W Capitol Ave Ste 101b Little Rock AR 72201-3421 Ph: (501) 374-2629 |
| NPI Number | 1992154462 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 7911802079 |
|---|---|
| Medicare Enrollment ID | O20160908002046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992154462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Adam P Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487074639 PECOS PAC ID: 6406073055 Enrollment ID: I20160913001327 |
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