Organization · Type 2 NPI

Baptist Health

Rural Health Clinic/Center · Russellville, AR

NPI number 1689467102 Active

Practice location

1605 W Main St Ste 2719
Russellville, AR 72801-2719

Call (479) 219-5008 Map

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393

Specialties and licenses

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

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

Another provider at this address

Arkansas Health GroupFamily Medicine Physician Russellville, AR NPI 1780367060

Other rural health clinic/center providers in Russellville

See all in Russellville →

NPI record

NPI: 1689467102
Entity type: Organization (Type 2)
Issued: May 27, 2025
Last updated: Sep 3, 2025
Status: Active

Other names

<unavail>
Baptist Health Family Clinic - Russellville · doing business as
Baptist Health Family Clinic - Russellville · doing business as

Authorized official

Troy Wells
President
(501) 202-2080

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 1689467102

Baptist Health's National Provider Identifier is 1689467102, issued on May 27, 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 Sep 3, 2025.