Organization · Type 2 NPI

Russellville Holdings, LLC

General Practice Physician · Hector, AR

NPI number 1013100890 Active

Practice location

11720 State Route 27
Hector, AR 72843

Call (479) 284-5001 Map

Mailing address

4000 Meridian Blvd
Franklin, TN 37067-6325

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

NPI record

NPI: 1013100890
Entity type: Organization (Type 2)
Issued: Aug 24, 2007
Last updated: Mar 29, 2022
Status: Active
Subpart: Yes of Russellville Holdings, LLC

Other names

<unavail>
(part B) · other name
(part B) · other name

Authorized official

Terrance Dillon
Assistant Secretary
(502) 596-7220

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1013100890

Russellville Holdings, LLC's National Provider Identifier is 1013100890, issued on Aug 24, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Hector, AR. The record was last updated on Mar 29, 2022.