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WHITE RIVER AREA AGENCY ON AGINGINC. NPI 1952525784


NPI Information

NPI: 1952525784
Provider Name: WHITE RIVER AREA AGENCY ON AGING,INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3998 HARRISON ST
BATESVILLE, AR
ZIP 72501
Phone: (870) 612-3000
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WHITE RIVER AREA AGENCY ON AGING,INC. is a durable medical equipment medical supplies in Batesville, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. WHITE RIVER AREA AGENCY ON AGING,INC. NPI is 1952525784. The provider is registered as an organization entity type.

The provider's business location address is:

3998 HARRISON ST
BATESVILLE, AR
ZIP 72501-107
Phone: (870) 612-3000

The provider's authorized official is Ted Hall .
The authorized official title is Executive Director and has the following contact phone number (870) 612-3000.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 8/5/2014.


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
1251E00000XHome HealthAR3459CALIFORNIANo
2310400000XAssisted Living Facility06-014CALIFORNIANo
3251B00000XCase ManagementAR3459CALIFORNIANo
4332B00000XDurable Medical Equipment & Medical SuppliesMG01287CALIFORNIAYes

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
1196126716MEDICAIDARKANSAS
2120742752MEDICAIDARKANSAS
3145858754MEDICAIDARKANSAS
4159471794MEDICAIDARKANSAS
5164321796MEDICAIDARKANSAS
6164271797MEDICAIDCALIFORNIA
7120613765MEDICAIDCALIFORNIA
8102729732MEDICAIDCALIFORNIA
9120400757MEDICAIDCALIFORNIA
10164417798MEDICAIDCALIFORNIA
116714370001MEDICARE NSCCALIFORNIA

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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