RENAISSANCE HEALTH AND WELLNESS – NPI #1497168397
General Practice

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

Health Care Provider Taxonomy Code for General Practice

RENAISSANCE HEALTH AND WELLNESS is a provider located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1497168397 to RENAISSANCE HEALTH AND WELLNESS on June 09, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RENAISSANCE HEALTH AND WELLNESS” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL MEDICAL SERVICES, P.A.. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 RENAISSANCE HEALTH AND WELLNESS below.

NPI Profile for
SOUTH CENTRAL MEDICAL SERVICES, P.A.

NPI Number
1497168397
Enumeration Date

(about 12 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
SOUTH CENTRAL MEDICAL SERVICES, P.A.
Doing Business As (dba): RENAISSANCE HEALTH AND WELLNESS
Primary location
600 AUTUMN RD
LITTLE ROCK, AR 72211-3606
Phone: (501) 448-2342 Fax: (501) 221-0615
Mailing address
PO BOX 11020
FORT SMITH, AR 72917-1020
Phone: (479) 434-4887 Fax: (479) 434-4955
Organization Subpart
No
Authorized Official
CHESTER CARLSON
OWNER/MEDICAL DIRECTOR
Phone: (479) 657-6888
Updated
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)		 AR E5307

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.