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CITY OF FIRE COMMUNITY DEVELOPMENT INC. NPI 1265663702


NPI Information

NPI: 1265663702
Provider Name: CITY OF FIRE COMMUNITY DEVELOPMENT, INC.

Doing Business As: COVENANT KEEPERS COLLEGE PREPARATORY CHARTER SCHOOL

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
8300 GEYER SPRINGS RD
LITTLE ROCK, AR
ZIP 72209
Phone: (501) 682-7550
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CITY OF FIRE COMMUNITY DEVELOPMENT, INC. is a point of service in Little Rock, AR. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CITY OF FIRE COMMUNITY DEVELOPMENT, INC. NPI is 1265663702. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Keepers College Preparatory Charter School.

The provider's business location address is:

8300 GEYER SPRINGS RD
LITTLE ROCK, AR
ZIP 72209-946
Phone: (501) 682-7550
Fax: (501) 682-7577

The provider's authorized official is Valerie Lashell Tatum .
The authorized official title is Superintendent and has the following contact phone number (501) 682-7550.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 7/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service6044700ARKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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