Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russellville Holdings LLC

Organization Skilled Nursing Facility · NPI 1538111398

Russellville Holdings LLC is a Skilled Nursing Facility in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1808 W Main St
Russellville, AR 72801-2724
Phone: (479) 968-2841
Fax: (479) 968-8189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 4193 (AR)

Record details

NPI number1538111398
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRussellville Holdings LLC
Authorized official Terrance Dillon — Assistant Secretary · (502) 596-7220
Other names St. Mary'S Regional Medical Center; St. Mary'S Regional Medical Center
NPI enumeratedMay 17, 2006
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing addressPo Box 849117, Dallas, TX 75284-9117

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