SOUTH FORK HEALTH AND WELLNESS LLC
NPI 1528731155
General Practice in Salem, AR

Q: What is South Fork Health And Wellness LLC's NPI number?

The NPI number for South Fork Health And Wellness LLC is 1528731155. It was assigned to this organization in the NPPES registry on July 29, 2021.

Q: What is South Fork Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 29, 2021

105 PINTO PLACE, SALEM, AR 72576(870) 500-4225 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About South Fork Health And Wellness Llc NPPES

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

SOUTH FORK HEALTH AND WELLNESS LLC (NPI 1528731155) is a healthcare organization registered as a general practice in Salem, Arkansas and active in the NPI registry since July 2021. The organization lists Jeffrey Summerhill, Owner, as its authorized official.

NPPES Registry Identity

NPI1528731155

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSOUTH FORK HEALTH AND WELLNESS LLC

Location Address105 PINTO PLACESalem, AR 72576-7011

Mailing Address105 Pinto PlaceSalem, AR 72576-7011 · (870) 500-4225

Phone(870) 500-4225

Organization SubpartNo

Authorized OfficialJeffrey SummerhillOwner · (870) 500-4225

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 1, 2021

✔ NPI 1528731155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

105 PINTO PLACE, Salem, AR 72576

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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

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 South Fork Health And Wellness LLC's NPI number?

The NPI number for South Fork Health And Wellness LLC is 1528731155. It was assigned to this organization in the NPPES registry on July 29, 2021.

Where is South Fork Health And Wellness LLC located?

South Fork Health And Wellness LLC is located at 105 Pinto Place, Salem, AR 72576. The listed phone number is (870) 500-4225.

What is South Fork Health And Wellness LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Fork Health And Wellness LLC was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.