SELAH HEALTH NPI 1720734247

NPI Information

NPI: 1720734247
Provider Name: SELAH HEALTH
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
180 S THORNTON AVE
PIGGOTT, AR
ZIP 72454
Phone: (870) 324-3379
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SELAH HEALTH is a psychiatric/mental health nurse practitioner in Piggott, AR. SELAH HEALTH NPI is 1720734247. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

180 S THORNTON AVE
PIGGOTT, AR
ZIP 72454-731
Phone: (870) 324-3379
Fax: (908) 520-3761

The provider's authorized official is Amanda Gail Smallmon .
The authorized official title is Ceo and has the following contact phone number (870) 324-3379.

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/23/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	No
3	363LF0000X	Nurse Practitioner	Family	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	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	1447481072	OTHER		AMANDA SMALLMON'S NPI #
2	1518246438	OTHER		TAMMY TRIPP, LSCW, NPI#

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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