Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Russellville Family Clinic PA

Organization Family Medicine Physician · NPI 1003805870

Russellville Family Clinic PA provides Family Medicine Physician services in Russellville, Arkansas. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

108 Skyline Dr
Russellville, AR 72801-3362 Not confirmed with CMS for 12 years — call before visiting
Phone: (479) 968-7170
Fax: (479) 968-7607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003805870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Pike — Business Manager · (479) 968-7170
NPI enumeratedOctober 14, 2005
Last updated in NPPESMarch 11, 2014
Mailing addressPo Box 1648, Russellville, AR 72811-1648

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