SELAH HEALTH NPI 1720734247

NPI Information

NPI: 1720734247
Provider Name: SELAH HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 04D2267882

Address:
180 S THORNTON AVE
PIGGOTT, AR
ZIP 72454
Phone: (870) 970-3180
Get Directions

SELAH HEALTH is a psychiatric/mental health nurse practitioner in Piggott, AR. SELAH HEALTH NPI is 1720734247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

180 S THORNTON AVE
PIGGOTT, AR
ZIP 72454-731
Phone: (870) 970-3180
Fax: (870) 201-9686

The provider's authorized official is Amanda Gail Smallmon .
The authorized official title is Ceo and has the following contact phone number (870) 970-3180.

The CLIA number assigned to this NPI record is 04D2267882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 11/15/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	163WW0000X	Registered Nurse	Wound Care	No
3	2084P0800X	Psychiatry & Neurology	Psychiatry	No
4	363LF0000X	Nurse Practitioner	Family	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	291504758	MEDICAID	ARKANSAS
2	1518246438	OTHER		TAMMY TRIPP, LSCW, NPI#
3	1447481072	OTHER		AMANDA SMALLMON'S NPI #

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »