NORTH ARKANSAS REGIONAL MEDICAL CENTER (NARMC BEHAVORIAL HEALTH CLINIC) - NPI NUMBER 1952642050

Summary

Provider Name: NORTH ARKANSAS REGIONAL MEDICAL CENTER (NARMC BEHAVORIAL HEALTH CLINIC)

NPI Number: 1952642050

Clasification: Clinical Nurse Specialist (364SP0809X)

Specialization: Psych/Mental Health, Adult

Address:
620 N MAIN ST
HARRISON, AR
ZIP 72601

Phone Number: (870) 414-4000



Detailed Information

NORTH ARKANSAS REGIONAL MEDICAL CENTER is a psych/mental health, adult clinical nurse specialist in Harrison, AR. The assigned NPI number for this provider is 1952642050 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Narmc Behavorial Health Clinic.

The provider's business address is:

620 N MAIN ST
HARRISON, AR
ZIP 72601-911
Phone: (870) 414-4000

The provider's authorized official is Debra L Henry .
The authorized official title is Vp Of Finance/cfo and has the following contact phone number (870) 414-5157.

The enumeration date for this NPI number is 3/14/2013 and was last updated on 4/17/2013.

Map - Location of Practice

Taxonomy Codes

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 364SP0809X Clinical Nurse Specialist Psych/Mental Health, Adult A003827 AR Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1952642050 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name NORTH ARKANSAS REGIONAL MEDICAL CENTER The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name NARMC BEHAVORIAL HEALTH CLINIC Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 620 N MAIN ST The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name HARRISON The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name AR The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 726012911 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 8704144000 The telephone number associated with the location address of the provider being identified.
13 Provider Enumeration Date 3/14/2013 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 4/17/2013 The date that a record was last updated or changed.
15 Authorized Official Last Name HENRY The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name DEBRA The first name of the authorized official.
17 Authorized Official Middle Name L The middle name of the authorized official.
18 Authorized Official Title or Position VP OF FINANCE/CFO The title or position of the authorized official.
19 Authorized Official Telephone Number 8704145157 The 10-position telephone number of the authorized official.
20 Healthcare Provider Taxonomy Code 1 364SP0809X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
21 Provider License Number 1 A003827 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
22 Provider License Number State Code 1 AR The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
23 Healthcare Provider Primary Taxonomy Switch 1 Y
24 Is Organization Subpart N
25 Authorized Official Name Prefix Text MS.
26 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 4/19/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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