THE CLINIC FOR CHILDREN, YOUTH AND YOUNG ADULTS (NPI# 1205056595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205056595 |
| Entity Type | Organization |
| Organization Name | THE CLINIC FOR CHILDREN, YOUTH AND YOUNG ADULTS |
| Practice Address |
820 Main St S Hope AR 71801 |
| Mailing Address |
Po Box 785 Hope AR 71802-0785 |
| Practice Telephone | 8707777581 |
| Practice Fax Number | 8707774625 |
| Mailing Telephone | 8707777581 |
| Mailing Fax Number | 8707774625 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD CRAIG DAVIS (OWNER) |
| Authorized Official Telephone | 8707777581 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080H0002X |
Pediatrics Specialization: Hospice and Palliative Medicine |
C5391 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
820 MAIN ST S |
| City | HOPE |
| State | AR |
| Zip Code | 71801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524956 | Yasmin Morgan Lpc | Counselor | 1806 N. Spruce St, Hope, AR 71801 | 2019-02-11 |
| 1205318169 | Dewayne Bonner | Case Manager/Care Coordinator | 1401 S. Main St, Hope, AR 71801 | 2018-09-06 |
| 1194207118 | Cassie Gonzales | Case Manager/Care Coordinator | 1401 S. Main Street, Hope, AR 71801 | 2018-09-06 |
| 1912457136 | Stacy Davis | Occupational Therapist | 510 Hempstead 173w, Hope, AR 71801 | 2016-10-12 |
| 1114386976 | Elizabeth Kay Henley | Specialist | 5180 Hemstead 3, Hope, AR 71801 | 2016-02-22 |
| 1053783894 | Kourtney Smith | Pharmacist | 1004 Commerce Blvd, Hope, AR 71801 | 2015-10-20 |
| 1154705382 | Jason Otis Moore | Case Manager/Care Coordinator | 500 W. Ave E St., Hope, AR 71801 | 2015-07-17 |
| 1700284163 | Cox Family Practice | Preferred Provider Organization | 2015 Main Street, Hope, AR 71801 | 2014-12-16 |
| 1932512068 | Gregory Alan Davis | Counselor | 802 E 3rd St, Hope, AR 71801 | 2014-06-05 |
| 1821420688 | Callie Brooke Gilbey | Speech-Language Pathologist | 249 Hempstead 243, Hope, AR 71801 | 2013-08-05 |
| Find all providers in zip 71801 | ||||
| Taxonomy Code | 2080H0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Hospice and Palliative Medicine |
| A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.