WOODRIDGE OF WEST MEMPHIS LLC NPI 1134521685

NPI Information

NPI: 1134521685
Provider Name: WOODRIDGE OF WEST MEMPHIS, LLC

Doing Business As: PERIMETER BEHAVIORAL HOSPITAL OF WEST MEMPHIS

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 04D2071137

Address:
600 N 7TH ST
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 394-7100
Get Directions

WOODRIDGE OF WEST MEMPHIS, LLC is a psychiatric hospital in West Memphis, AR. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. WOODRIDGE OF WEST MEMPHIS, LLC NPI is 1134521685. The provider is registered as an organization entity type.
The provider Is Doing Business As Perimeter Behavioral Hospital Of West Memphis.

The provider's business location address is:

600 N 7TH ST
WEST MEMPHIS, AR
ZIP 72301-235
Phone: (870) 394-7100
Fax: (870) 394-7111

The provider's authorized official is Rochelle Gerber .
The authorized official title is Director Of Administrative Services and has the following contact phone number (470) 554-7903.

The CLIA number assigned to this NPI record is 04D2071137 - other - residential treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 1/2/2020.

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	283Q00000X	Psychiatric Hospital			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	210599125	MEDICAID	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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