STATE OF ARKANSAS NPI 1811926967

NPI Information

NPI: 1811926967
Provider Name: STATE OF ARKANSAS

Doing Business As: ARKANSAS DEPARTMENT OF HEALTH HOSPICE 9W

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
409 W 4TH ST
MONROE COUNTY HEALTH UNITY
BRINKLEY, AR
ZIP 72021
Phone: (501) 661-2698
Get Directions

STATE OF ARKANSAS is a hospice care community based in Brinkley, AR. STATE OF ARKANSAS NPI is 1811926967. The provider is registered as an organization entity type.
The provider Is Doing Business As Arkansas Department Of Health Hospice 9w.

The provider's business location address is:

409 W 4TH ST
MONROE COUNTY HEALTH UNITY
BRINKLEY, AR
ZIP 72021-113
Phone: (501) 661-2698
Fax: (501) 280-4626

The provider's authorized official is Gayla Lanum .
The authorized official title is Hospice Director and has the following contact phone number (501) 661-2698.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 10/9/2012.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		0143	ARKANSAS	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	123489747	MEDICAID	ARKANSAS
2	041505	MEDICARE OSCAR/CERTIFICATION	ARKANSAS
3	0413	OTHER	ARKANSAS	AR STATE HOSPICE LICENSE

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

NPI Synchronization or Removal

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