UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
NPI 1700503745
Clinic/Center - Community Health in Little Rock, AR

Active since October 20, 2022
4010 W 12TH ST, LITTLE ROCK, AR 72204(501) 614-2492(501) 614-2495 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About University Of Arkansas For Medical Sciences NPPES

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

UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES (NPI 1700503745) is a healthcare organization registered as a community health in Little Rock, Arkansas and active in the NPI registry since October 2022. The organization lists Susan D Moore, Manager, as its authorized official.

NPPES Registry Identity

NPI1700503745
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameUNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES
Location Address4010 W 12TH STLittle Rock, AR 72204-2047
Mailing Address4010 W 12th StLittle Rock, AR 72204-2047 · (501) 614-2492 · Fax (501) 614-2495
Fax(501) 614-2495
Organization SubpartYes
Authorized OfficialSusan D MooreManager · (501) 614-2006
Enumeration DateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
NPI 1700503745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
4010 W 12TH ST, Little Rock, AR 72204

Other Names 1

Other Name12th Street Health And Wellness Center

Other Providers at the Same Location NPPES 2

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

Pharmacy (Community/Retail Pharmacy)
4010 W 12TH ST
LITTLE ROCK, AR 72204
Social Worker (Clinical)
4010 W 12TH ST
LITTLE ROCK, AR 72204

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 University Of Arkansas For Medical Sciences's NPI number?

The NPI number for University Of Arkansas For Medical Sciences is 1700503745. It was assigned to this organization in the NPPES registry on October 20, 2022. The provider is also known as 12th Street Health and Wellness Center.

Where is University Of Arkansas For Medical Sciences located?

University Of Arkansas For Medical Sciences is located at 4010 W 12th St, Little Rock, AR 72204. The listed phone number is (501) 614-2492.

What is University Of Arkansas For Medical Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for University Of Arkansas For Medical Sciences was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.