Provider Demographics
NPI:1700951787
Name:HEALTHFIRST PHYSICIANS OF ARKANSAS
Entity Type:Organization
Organization Name:HEALTHFIRST PHYSICIANS OF ARKANSAS
Other - Org Name:HEALTHFIRST FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:501-525-6186
Mailing Address - Street 1:1662 HIGDON FERRY RD.
Mailing Address - Street 2:SUITE 140
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6913
Mailing Address - Country:US
Mailing Address - Phone:501-525-6186
Mailing Address - Fax:501-525-2104
Practice Address - Street 1:1662 HIGDON FERRY RD.
Practice Address - Street 2:SUITE 140
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-6913
Practice Address - Country:US
Practice Address - Phone:501-525-6186
Practice Address - Fax:501-525-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE0011207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR130921001Medicaid
AR130921001Medicaid
AR5F656Medicare PIN