Provider Demographics
NPI:1790718799
Name:HEALTHFIRST PHYSICIANS OF ARKANSAS
Entity Type:Organization
Organization Name:HEALTHFIRST PHYSICIANS OF ARKANSAS
Other - Org Name:SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-623-9581
Mailing Address - Street 1:1662 HIGDON FERRY ROAD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6912
Mailing Address - Country:US
Mailing Address - Phone:501-623-9581
Mailing Address - Fax:501-623-3321
Practice Address - Street 1:1662 HIGDON FERRY ROAD
Practice Address - Street 2:SUITE 230
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6912
Practice Address - Country:US
Practice Address - Phone:501-623-9581
Practice Address - Fax:501-623-1523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
56968Medicare PIN