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

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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
1 NPI 1952642050
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name NORTH ARKANSAS REGIONAL MEDICAL CENTER
5 Provider Other Organization Name NARMC BEHAVORIAL HEALTH CLINIC
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 620 N MAIN ST
8 Provider Business Practice Location Address City Name HARRISON
9 Provider Business Practice Location Address State Name AR
10 Provider Business Practice Location Address Postal Code 726012911
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8704144000
13 Provider Enumeration Date 3/14/2013
14 Last Update Date 4/17/2013
15 Authorized Official Last Name HENRY
16 Authorized Official First Name DEBRA
17 Authorized Official Middle Name L
18 Authorized Official Title or Position VP OF FINANCE/CFO
19 Authorized Official Telephone Number 8704145157
20 Healthcare Provider Taxonomy Code 1 364SP0809X
21 Provider License Number 1 A003827
22 Provider License Number State Code 1 AR
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: 10/12/2014
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