South Fork Health and Wellness LLC
NPI 1528731155ActiveOrganization· General Practice· Salem, AR
General Practice in Salem, Arkansas, registered in NPPES in July 2021. The authorized official on file is Jeffrey Summerhill, DO, Owner.
Overview
| NPI | 1528731155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2021 |
| Last updated in NPPES | Jul 29, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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