ST MARYS PHYSICIAN SERVICES LLC
NPI 1396637682
Clinic/Center - Rural Health in Russellville, AR

Active since July 19, 2025
101 SKYLINE DR STE A, RUSSELLVILLE, AR 72801(479) 968-2345(479) 890-2497 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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 1396637682), doing business as Millard-henry Clinic Of Russellville, is a healthcare organization registered as a rural health in Russellville, Arkansas and active in the NPI registry since July 2025. The organization lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1396637682
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameST MARYS PHYSICIAN SERVICES LLC
Location Address101 SKYLINE DR STE ARussellville, AR 72801-3363
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Fax(479) 890-2497
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateJuly 19, 2025
Last NPPES UpdateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
NPI 1396637682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
101 SKYLINE DR STE A, Russellville, AR 72801

Other Names 1

Doing Business AsMillard-henry Clinic Of Russellville

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 1396637682. It was assigned to this organization in the NPPES registry on July 19, 2025. The provider is doing business as Millard-Henry Clinic of Russellville.

Where is St Marys Physician Services LLC located?

St Marys Physician Services LLC is located at 101 Skyline Dr Ste A, 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 Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for St Marys Physician Services LLC was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.