Heritage Physician Group
Durable Medical Equipment & Medical Supplies in Hot Springs, AR. Organization (NPI-2).
NPI number1245308030
StatusActive
Last updated in NPPESDec 21, 2007
Details
- NPI
- 1245308030
- Entity type
- Organization (NPI-2)
- Legal business name
- Heritage Physician Group
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Dec 21, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
1455 Higdon Ferry RdHot Springs, AR 71913
Phone 501-623-2731 · Fax 501-623-1660
Mailing address
Po Box 21850Hot Springs, AR 71903
Phone 501-627-1800 · Fax 501-627-1899
Authorized official
Wanda Coleman
Cbo Supervisor
5016271816
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