CARK CARE OF AR, LLC – NPI #1023678885
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CARK CARE OF AR, LLC is a provider located in BENTONVILLE, AR. NPPES has assigned the NPI number 1023678885 to CARK CARE OF AR, LLC on June 14, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on Feb 13, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARK CARE OF AR, LLC below.

NPI Profile for
CARK CARE OF AR, LLC

NPI Number
1023678885
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARK CARE OF AR, LLC
Primary location
900 SE 5TH ST STE 22
BENTONVILLE, AR 72712-6090
Phone: (615) 733-2064 Fax:
Mailing address
102 WOODMONT BLVD STE 350
NASHVILLE, TN 37205-2216
Phone: (615) 733-2064 Fax:
Organization Subpart
No
Authorized Official
EDWARD LELAND EADIE
MANAGING EMPLOYEE
Phone: (615) 733-2064
Updated
Certification Date
Feb 13, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.