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NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC NPI 1891263091


NPI Information

NPI: 1891263091
Provider Name: NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC

Doing Business As: MIDSOUTH HEALTH SYSTEMS

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 04D2021886

Address:
623 N 9TH ST STE 200
AUGUSTA, AR
ZIP 72006
Phone: (870) 972-4939
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NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC is a community behavioral health in Augusta, AR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC NPI is 1891263091. The provider is registered as an organization entity type.
The provider Is Doing Business As Midsouth Health Systems.

The provider's business location address is:

623 N 9TH ST STE 200
AUGUSTA, AR
ZIP 72006-103
Phone: (870) 972-4939
Fax: (870) 972-4911

The provider's authorized official is Carla Jones .
The authorized official title is Office Manager and has the following contact phone number (870) 972-4000.

The CLIA number assigned to this NPI record is 04D2021886 - other - comm mental health with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2018 and was last updated on 4/25/2022.


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
1251S00000XCommunity/Behavioral HealthYes

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

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