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ARKANSAS DEPARTMENT OF HEALTH NPI 1205154044


NPI Information

NPI: 1205154044
Provider Name: ARKANSAS DEPARTMENT OF HEALTH

Doing Business As: ADH SOUTHEAST REGION EPSDT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1742 HWY 65 AND 82 SOUTH
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-2236
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ARKANSAS DEPARTMENT OF HEALTH is a public health or welfare in Lake Village, AR. ARKANSAS DEPARTMENT OF HEALTH NPI is 1205154044. The provider is registered as an organization entity type.
The provider Is Doing Business As Adh Southeast Region Epsdt.

The provider's business location address is:

1742 HWY 65 AND 82 SOUTH
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 265-2236
Fax: (870) 265-8001

The provider's authorized official is Terri S Wright .
The authorized official title is Agency Program Coordinator and has the following contact phone number (501) 661-2859.

The enumeration date for this NPI number is 5/4/2010 and was last updated on 5/4/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251K00000XPublic Health or WelfareYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1181187002MEDICAIDARKANSAS

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

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