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GAIN INC. NPI 1992885180


NPI Information

NPI: 1992885180
Provider Name: GAIN, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
712 W 3RD ST
LITTLE ROCK, AR
ZIP 72201
Phone: (501) 379-4246
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GAIN, INC. is a multi-specialty clinic center in Little Rock, AR. GAIN, INC. NPI is 1992885180. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

712 W 3RD ST
LITTLE ROCK, AR
ZIP 72201-220
Phone: (501) 379-4246

The provider's authorized official is Gaylon Drew Black .
The authorized official title is Cfo and has the following contact phone number (501) 379-4249.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 2/13/2019.


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
11041C0700XSocial WorkerClinicalNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
3251S00000XCommunity/Behavioral HealthNo
4261QM1300XClinic/CenterMulti-SpecialtyYes

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
1127198726MEDICAIDARKANSAS

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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