SOUTHEAST ARKANSAS HOSPICE LTD CO NPI 1811083587

NPI Information

NPI: 1811083587
Provider Name: SOUTHEAST ARKANSAS HOSPICE LTD CO
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1401 S STATE ST
SUITE A
PINE BLUFF, AR
ZIP 71601
Phone: (870) 850-7152
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SOUTHEAST ARKANSAS HOSPICE LTD CO is a hospice care community based in Pine Bluff, AR. SOUTHEAST ARKANSAS HOSPICE LTD CO NPI is 1811083587. The provider is registered as an organization entity type.

The provider's business location address is:

1401 S STATE ST
SUITE A
PINE BLUFF, AR
ZIP 71601-856
Phone: (870) 850-7152
Fax: (870) 850-7413

The provider's authorized official is Clifford Raspberry Flowers .
The authorized official title is Owner and has the following contact phone number (870) 850-7152.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/30/2012.

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	251G00000X	Hospice Care, Community Based		AR4100	ARKANSAS	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	148705747	MEDICAID	ARKANSAS
2	041566	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
3	11566	OTHER	ARKANSAS	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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