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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: July 19, 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.

JOE CLOUD M.D.
Obstetrics & Gynecology
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 890-2432
SARAH ELIZABETH ROBERTSON MD
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
MS. ALICE KATHLEEN WHITLOW R.D.
Dietitian, Registered
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. FAUZIA QADIR MD
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
STANLEY DANE TEETER M.D.
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
DR. HOWARD MADISON ORSBURN IV M.D.
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
KEITH ALAN ISON MD
Internal Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345
RICK WAYNE HARRISON MD
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pope County (479) 968-2345

Frequently Asked Questions

What is ST MARYS PHYSICIAN SERVICES, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1063626117, enumerated as an "organization" on May 09, 2007.

Where is the provider located?

The provider is located at 101 SKYLINE DR RUSSELLVILLE, AR 72801 and the phone number is (479) 968-2345.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does ST MARYS PHYSICIAN SERVICES, LLC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.