| Healthville Pllc | |
|
11219 Financial Centre Pkwy Ste 316 Little Rock AR 72211-3895 | |
| (501) 747-1827 | |
| Not Available |
| Full Name | Healthville Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11219 Financial Centre Pkwy Ste 316, Little Rock, Arkansas |
| Authorized Official Name and Position | Fan Yang (MANAGER) |
| Authorized Official Contact | 9142820843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthville Pllc 11219 Financial Centre Pkwy Ste 316 Little Rock AR 72211-3895 Ph: (501) 747-1827 | Healthville Pllc 11219 Financial Centre Pkwy Ste 316 Little Rock AR 72211-3895 Ph: (501) 747-1827 |
| NPI Number | 1740797422 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 01/04/2018 |
| Medicare PECOS PAC ID | 2163787425 |
|---|---|
| Medicare Enrollment ID | O20180607002181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fan Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629340948 PECOS PAC ID: 9830318872 Enrollment ID: I20180314000790 |
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