Organization · Type 2 NPI

19th Medgrp-Little Rock

Military/U.S. Coast Guard Outpatient Clinic/Center · Lr Afb, AR

NPI number 1073591830 Active

Practice location

1090 Arnold Dr
Lr Afb, AR 72099-4933

Call (501) 987-7414 Map

Fax (501) 987-7310

Specialties and licenses

TaxonomyCodeLicense
Military/U.S. Coast Guard Outpatient Clinic/Center Primary 261QM1100XNone listed
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center 261QM1101XNone listed
Military/U.S. Coast Guard Pharmacy 332000000XNone listed

Military/U.S. Coast Guard Outpatient Clinic/Center: The Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes, as exam…

132 other providers at this address

About NPI 1073591830

19th Medgrp-Little Rock's National Provider Identifier is 1073591830, issued on Jan 3, 2006. The primary taxonomy on file is Military/U.S. Coast Guard Outpatient Clinic/Center (261QM1100X), and the practice location is in Lr Afb, AR. The record was last updated on Jun 16, 2025.