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THE SHAVERS-COBB FOUNDATION NPI 1962113399


NPI Information

NPI: 1962113399
Provider Name: THE SHAVERS-COBB FOUNDATION
Classification: Preventive Medicine - 2083P0901X
Entity Type: Organization

Specialization: Public Health & General Preventive Medicine

Address:
2307 FOREST KNOLL DR
PINE BLUFF, AR
ZIP 71603
Phone: (870) 556-0335
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THE SHAVERS-COBB FOUNDATION is a public health and general preventive medicine preventive medicine in Pine Bluff, AR. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. THE SHAVERS-COBB FOUNDATION NPI is 1962113399. The provider is registered as an organization entity type.

The provider's business location address is:

2307 FOREST KNOLL DR
PINE BLUFF, AR
ZIP 71603-154
Phone: (870) 556-0335

The provider's authorized official is Donovan L Shavers .
The authorized official title is Executive Director/founder and has the following contact phone number (870) 556-0335.

The enumeration date for this NPI number is 12/6/2022 and was last updated on 12/6/2022.


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
1251K00000XPublic Health or WelfareNo
2251S00000XCommunity/Behavioral HealthNo
3261QC1500XClinic/CenterCommunity HealthNo
4261QP0905XClinic/CenterPublic Health, State or LocalNo
5261QR1300XClinic/CenterRural HealthNo
6251B00000XCase ManagementNo
72083P0901XPreventive MedicinePublic Health & General Preventive MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.