Provider Demographics
NPI:1346213568
Name:ARKANSAS WOMEN'S CENTER PA
Entity type:Organization
Organization Name:ARKANSAS WOMEN'S CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:HILTERBRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-224-6699
Mailing Address - Street 1:9500 KANIS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6324
Mailing Address - Country:US
Mailing Address - Phone:501-224-6699
Mailing Address - Fax:501-224-7752
Practice Address - Street 1:9500 KANIS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6324
Practice Address - Country:US
Practice Address - Phone:501-224-6699
Practice Address - Fax:501-224-7752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR862496OtherUNITED HEALTHCARE
AR120143002Medicaid
ARCS7577OtherRAILROAD MEDICARE
AR120143002Medicaid