ARKANSAS PHS PA
NPI 1194956516
Family Medicine in Bentonville, AR

Active since August 03, 2009
609 SW 8TH STREET, SUITE 600, BENTONVILLE, AR 72712(901) 261-4848(901) 261-4849 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Arkansas Phs Pa NPPES

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

ARKANSAS PHS PA (NPI 1194956516) is a healthcare organization registered as a family medicine in Bentonville, Arkansas and active in the NPI registry since August 2009. The organization lists Nicole Howard, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194956516
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameARKANSAS PHS PA
Location Address609 SW 8TH STREET, SUITE 600Bentonville, AR 72712-8913
Mailing Address1509 Dulles DriveLafayette, LA 70506 · (337) 991-9276 · Fax (337) 991-9288
Fax(901) 261-4849
Organization SubpartYesParent: Provider Health Services Llc
Authorized OfficialNicole HowardCfo · (337) 991-9276
Enumeration DateAugust 3, 2009
Last NPPES UpdateJuly 2, 2014
NPI 1194956516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
609 SW 8TH STREET, Bentonville, AR 72712

Other Identifiers 2

Medicaid190440762AR
Medicare PIN5G977AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical)
609 SW 8TH STREET, SUITE 600
BENTONVILLE, AR 72712
Dentist (Endodontics)
609 SW 8TH STREET, #465
BENTONVILLE, AR 72712
Durable Medical Equipment & Medical Supplies
609 SW 8TH STREET, 6TH FLOOR
BENTONVILLE, AR 72712

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 Arkansas Phs PA's NPI number?

The NPI number for Arkansas Phs PA is 1194956516. It was assigned to this organization in the NPPES registry on August 3, 2009.

Where is Arkansas Phs PA located?

Arkansas Phs PA is located at 609 SW 8th Street Suite 600, Bentonville, AR 72712. The listed phone number is (901) 261-4848.

What is Arkansas Phs PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Arkansas Phs PA was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.