NPI 1558909192 · live from the CMS NPI Registry
Share Foundation
Family Medicine, Hospice and Palliative Medicine in El Dorado, AR. National Provider Identifier 1558909192, active.
NPI record
| NPI | 1558909192 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Hospice and Palliative Medicine 207QH0002X |
| Practice location | 2301 Champagnolle Rd, El Dorado, AR 71730 |
| Practice phone | 870-862-0337 |
| Mailing address | 2299 Champagnolle Rd, El Dorado, AR 71730 |
| Enumerated | December 13, 2019 |
| Last updated | December 13, 2019 |
| Authorized official | Brian Jones, President/Ceo |
| Other names | Palliative Care Of South Arkansas |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Pediatrics, Hospice and Palliative Medicine | 2080H0002X | — |
| Family Medicine, Hospice and Palliative Medicine primary | 207QH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.