Provider Demographics
NPI:1417762832
Name:CORE HEALTH, PLLC
Entity type:Organization
Organization Name:CORE HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:VORIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:479-769-0075
Mailing Address - Street 1:9405 MOODY RD
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-6732
Mailing Address - Country:US
Mailing Address - Phone:479-769-0075
Mailing Address - Fax:
Practice Address - Street 1:6234 MASSARD RD
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-8887
Practice Address - Country:US
Practice Address - Phone:479-769-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty