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ST MARYS PHYSICIAN SERVICES, LLC
NPI 1063626117
Durable Medical Equipment & Medical Supplies in Russellville, AR

Active since May 09, 2007
101 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-2345(479) 890-2497 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2024, Feb 7, 2023, Jun 16, 2019 (3 updates tracked since 2019).

About St Marys Physician Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST MARYS PHYSICIAN SERVICES, LLC (NPI 1063626117) is a healthcare organization registered as a durable medical equipment & medical supplies in Russellville, Arkansas and active in the NPI registry since May 2007. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1063626117
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameST MARYS PHYSICIAN SERVICES, LLC
Location Address101 SKYLINE DRRussellville, AR 72801-3363
Mailing Address101 Skyline DrRussellville, AR 72801-3363 · (479) 968-2345 · Fax (479) 890-2497
Phone(479) 968-2345
Fax(479) 890-2497
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateMay 9, 2007
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1063626117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
101 SKYLINE DR, Russellville, AR 72801
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Other Identifiers 1

Medicaid152955002AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK EDWARD BUCHANAN M.D.
Orthopaedic Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. JAMES ALBERT JOHNSON JR. M. D.
Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
KRISTEN MICHELLE NELSON MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
MS. CANDACE DARLENE WELCHER APN
Nurse Practitioner (Family)
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. JANET K. CORBETT D.O.
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
ST MARY'S PHYSICIAN SERVICES LLC
General Practice
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
LYNETTE SMITH MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
KEVIN MEYER M.D.
Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Marys Physician Services, LLC's NPI number?

The NPI number for St Marys Physician Services, LLC is 1063626117. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is St Marys Physician Services, LLC located?

St Marys Physician Services, LLC is located at 101 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 968-2345.

What is St Marys Physician Services, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does St Marys Physician Services, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list St Marys Physician Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Marys Physician Services, LLC was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.