Provider Demographics
NPI:1023008406
Name:NORTH ARKANSAS ARTHRITIS CLINIC
Entity Type:Organization
Organization Name:NORTH ARKANSAS ARTHRITIS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-365-2001
Mailing Address - Street 1:620 N WILLOW ST
Mailing Address - Street 2:ANNEX A
Mailing Address - City:HARRISON
Mailing Address - State:AR
Mailing Address - Zip Code:72601-2994
Mailing Address - Country:US
Mailing Address - Phone:870-365-2550
Mailing Address - Fax:
Practice Address - Street 1:620 N WILLOW ST
Practice Address - Street 2:ANNEX A
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-2994
Practice Address - Country:US
Practice Address - Phone:870-365-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR3203261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5C618OtherBLUE CROSS BLUE SHIELD
AR5C618Medicare ID - Type Unspecified