Basic Information
| Provider Information | |||||||||
| NPI: | 1194458893 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | URGENT TEAM OF ARKANSAS PHYSICIANS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 BURTON HILLS BLVD STE 175 | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372156403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159882009 | ||||||||
| FaxNumber: | 6152509773 | ||||||||
| Practice Location | |||||||||
| Address1: | 6134 HEBER SPRINGS RD W | ||||||||
| Address2: | |||||||||
| City: | QUITMAN | ||||||||
| State: | AR | ||||||||
| PostalCode: | 721318995 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5013651059 | ||||||||
| FaxNumber: | 5015892431 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2022 | ||||||||
| LastUpdateDate: | 10/24/2022 | ||||||||
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| AuthorizedOfficialLastName: | REEL | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
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| AuthorizedOfficialTitleorPosition: | CONTROLLER | ||||||||
| AuthorizedOfficialTelephone: | 6158648709 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 10/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | N | Ambulatory Health Care Facilities | Clinic/Center | 261QU0200X | N | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.