STATE OF ARKANSAS NPI 1023046992

NPI Information

NPI: 1023046992
Provider Name: STATE OF ARKANSAS

Former Legal Business Name: ARKANSAS DEPARTMENT OF HEALTH HOSPICE 4

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1425 MALVERN AVE
AREA IV GARLAND COUNTY HEALTH UNIT
HOT SPRINGS, AR
ZIP 71901
Phone: (501) 661-2698
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STATE OF ARKANSAS is a hospice care community based in Hot Springs, AR. STATE OF ARKANSAS NPI is 1023046992. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Arkansas Department Of Health Hospice 4.

The provider's business location address is:

1425 MALVERN AVE
AREA IV GARLAND COUNTY HEALTH UNIT
HOT SPRINGS, AR
ZIP 71901-316
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 6/29/2006 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		AR3628	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	AR3628	OTHER	ARKANSAS	AR STATE HOSPICE LICENSE
2	123489747	MEDICAID	ARKANSAS
3	041537	MEDICARE OSCAR/CERTIFICATION	ARKANSAS

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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