| Diversity Family Health | |
|
9421 W Markham St Ste B Little Rock AR 72205-2282 | |
| (501) 837-1178 | |
| Not Available |
| Full Name | Diversity Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 9421 W Markham St Ste B, Little Rock, Arkansas |
| Authorized Official Name and Position | Kimberly Hill (APRN, OWNER) |
| Authorized Official Contact | 5018371178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Family Health 9421 W Markham St Ste B Little Rock AR 72205-2282 Ph: (501) 837-1178 | Diversity Family Health 9421 W Markham St Ste B Little Rock AR 72205-2282 Ph: (501) 837-1178 |
| NPI Number | 1891357455 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 02/09/2023 |
| Medicare PECOS PAC ID | 2264869940 |
|---|---|
| Medicare Enrollment ID | O20200218001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891357455 | NPI | - | NPPES |
| PENDING | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Russell R Rooms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316982887 PECOS PAC ID: 6406859768 Enrollment ID: I20060807000385 |
| Provider Name | Kimberly Ann Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710303631 PECOS PAC ID: 2668794637 Enrollment ID: I20141202000427 |
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