DIVINE MEDICAL OUTREACH SERVICES NPI 1194901736

NPI Information

NPI: 1194901736
Provider Name: DIVINE MEDICAL OUTREACH SERVICES
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5553 SPRINGVALE RD
NORTH LITTLE ROCK, AR
ZIP 72116
Phone: (501) 516-2322
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DIVINE MEDICAL OUTREACH SERVICES is a health service clinic center in North Little Rock, AR. DIVINE MEDICAL OUTREACH SERVICES NPI is 1194901736. The provider is registered as an organization entity type.

The provider's business location address is:

5553 SPRINGVALE RD
NORTH LITTLE ROCK, AR
ZIP 72116-740
Phone: (501) 516-2322
Fax: (501) 771-9211

The provider's authorized official is Rhonda Michelle Goldsby .
The authorized official title is Registered Nurse/casemgr. and has the following contact phone number (501) 516-2322.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.

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	261QH0100X	Clinic/Center	Health Service	R66896	ARKANSAS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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