Provider Demographics
NPI:1407949555
Name:ARRHYTHMIA ASSOCIATES OF NEA, LLC
Entity Type:Organization
Organization Name:ARRHYTHMIA ASSOCIATES OF NEA, LLC
Other - Org Name:CORECARE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, DNP, MBA
Authorized Official - Phone:870-761-4426
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-0609
Mailing Address - Country:US
Mailing Address - Phone:870-316-1016
Mailing Address - Fax:870-292-3535
Practice Address - Street 1:407 VIRGINIA DR
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7329
Practice Address - Country:US
Practice Address - Phone:870-316-1016
Practice Address - Fax:870-292-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC2533207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR180083001Medicaid