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NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC NPI 1699926154


NPI Information

NPI: 1699926154
Provider Name: NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC

Doing Business As: MID SOUTH HEALTH SYSTEMS, INC.

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3700 ACCESS ROAD
JONESBORO, AR
ZIP 72401
Phone: (870) 972-4000
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NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC is a community behavioral health in Jonesboro, AR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC NPI is 1699926154. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mid South Health Systems, Inc..

The provider's business location address is:

3700 ACCESS ROAD
JONESBORO, AR
ZIP 72401-238
Phone: (870) 972-4000
Fax: (870) 972-4911

The provider's authorized official is Carla Jones .
The authorized official title is Office Manager and has the following contact phone number (870) 972-4000.

The enumeration date for this NPI number is 10/2/2008 and was last updated on 4/25/2022.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthYes

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
1172108526MEDICAIDARKANSAS

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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