Organization · Type 2 NPI
ST Marys Physician Services LLC
Rural Health Clinic/Center · Russellville, AR
NPI number
1396637682
Active
Practice location
101 Skyline Dr Ste A
Russellville, AR 72801-3363
Fax (479) 890-2497
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...
Other rural health clinic/center providers in Russellville
About NPI 1396637682
ST Marys Physician Services LLC's National Provider Identifier is 1396637682, issued on Jul 19, 2025. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Russellville, AR. The record was last updated on Jan 12, 2026.