Baptist Health Family Clinic Otter Creek | |
11321 Interstate 30 Ste 101 Little Rock AR 72209-7064 | |
(501) 455-1331 | |
Not Available |
Full Name | Baptist Health Family Clinic Otter Creek |
---|---|
Speciality | Family Medicine |
Location | 11321 Interstate 30 Ste 101, Little Rock, Arkansas |
Authorized Official Name and Position | Will L Rusher (CEO) |
Authorized Official Contact | 5018127500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Baptist Health Family Clinic Otter Creek 11001 Executive Center Dr Ste 200 Little Rock AR 72211-4393 Ph: (501) 812-7215 | Baptist Health Family Clinic Otter Creek 11321 Interstate 30 Ste 101 Little Rock AR 72209-7064 Ph: (501) 455-1331 |
NPI Number | 1649518333 |
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Provider Enumeration Date | 01/30/2013 |
Last Update Date | 04/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649518333 | NPI | - | NPPES |
110127001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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