OrganizationActive
University of Arkansas for Medical Sciences
NPI 1700503745 · Community Health Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1700503745
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- University of Arkansas for Medical Sciences
- Organization subpart
- Yes
- Authorized official
- Susan Moore, Manager(501) 614-2006
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4010 W 12th St
Little Rock, AR 72204-2047
Phone: (501) 614-2492
Fax: (501) 614-2495
Street-level locationGet directions
Mailing address
4010 W 12th St
Little Rock, AR 72204-2047
Other names (DBA / former)
- Other name
- 12th Street Health and Wellness Center
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.