YOUTH BRIDGE NPI 1801245105

NPI Information

NPI: 1801245105
Provider Name: YOUTH BRIDGE

Other Name: YOUTH BRIDGE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5327 CRESTWOOD ST
HARRISON, AR
ZIP 72601
Phone: (870) 688-9651
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YOUTH BRIDGE is a health service clinic center in Harrison, AR. YOUTH BRIDGE NPI is 1801245105. The provider is registered as an organization entity type.
The provider Other Name Is Youth Bridge.

The provider's business location address is:

5327 CRESTWOOD ST
HARRISON, AR
ZIP 72601-292
Phone: (870) 688-9651

The provider's authorized official is Marilyn Hoke .
The authorized official title is Mhp and has the following contact phone number (479) 575-9471.

The enumeration date for this NPI number is 6/7/2016 and was last updated on 6/7/2016.

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	171M00000X	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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