RUSSELLVILLE HOLDINGS, LLC – NPI #1013100890
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

RUSSELLVILLE HOLDINGS, LLC is a provider located in HECTOR, AR. NPPES has assigned the NPI number 1013100890 to RUSSELLVILLE HOLDINGS, LLC on August 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. RUSSELLVILLE HOLDINGS, LLC is also known by the name (Not Specified). The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Mar 29, 2022. 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 RUSSELLVILLE HOLDINGS, LLC below.

NPI Profile for
RUSSELLVILLE HOLDINGS, LLC

NPI Number
1013100890
Enumeration Date

(about 19 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
RUSSELLVILLE HOLDINGS, LLC
Primary location
11720 STATE ROUTE 27
HECTOR, AR 72843
Phone: (479) 284-5001 Fax:
Mailing address
4000 MERIDIAN BLVD
FRANKLIN, TN 37067-6325
Phone: Fax:
Organization Subpart
Yes - RUSSELLVILLE HOLDINGS, LLC is subpart of another organization.
Authorized Official
TERRANCE DILLON
ASSISTANT SECRETARY
Phone: (502) 596-7220
Updated
Certification Date
Mar 29, 2022

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
208D00000X
- General Practice (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.