Organization · Type 2 NPI

ST Marys Physician Services LLC

Rural Health Clinic/Center · Dover, AR

NPI number 1225920515 Active

Practice location

8970 Market St
Dover, AR 72837-9110

Call (479) 331-3880 Map

Fax (479) 331-3376

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

NPI record

NPI: 1225920515
Entity type: Organization (Type 2)
Issued: Jul 19, 2025
Last updated: Aug 25, 2025
Status: Active

Other names

<unavail>
Millard-Henry Clinic of Dover · doing business as
Millard-Henry Clinic of Dover · doing business as

Authorized official

Charlotte Lawrence
Secretary
(615) 920-7000

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.

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About NPI 1225920515

ST Marys Physician Services LLC's National Provider Identifier is 1225920515, issued on Jul 19, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Dover, AR. The record was last updated on Aug 25, 2025.