ARKANSAS DEPARTMENT OF HEALTH (NPI# 1205154044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205154044 |
| Entity Type | Organization |
| Organization Name | ARKANSAS DEPARTMENT OF HEALTH |
| Other Organization Name | ADH SOUTHEAST REGION EPSDT |
| Practice Address |
1742 Hwy 65 and 82 South Lake Village AR 71653 |
| Mailing Address |
4815 W Markham St Slot 40 Little Rock AR 72205-3866 |
| Practice Telephone | 8702652236 |
| Practice Fax Number | 8702658001 |
| Mailing Telephone | 5016612859 |
| Mailing Fax Number | 5016612691 |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |
| Authorized Official Name | MS. TERRI S WRIGHT (AGENCY PROGRAM COORDINATOR) |
| Authorized Official Telephone | 5016612859 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 181187002 | 05 |
| Other Name | Type Code |
|---|---|
| ADH Southeast Region EPSDT | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902157589 | Arkansas Department of Health | Public Health or Welfare | 4815 W Markham St, Slot 2, Little Rock, AR 72205-3866 | 2012-09-24 |
| 1063683605 | Arkansas Department of Health | Obstetrics & Gynecology | 611 E Washington Ave, Suite B, Jonesboro, AR 72401-3070 | 2008-03-21 |
| 1922127760 | Arkansas Department of Health | Public Health or Welfare | 1501 Dawson Road, Forrest City, AR 72236 | 2007-03-29 |
| 1548387103 | Arkansas Department of Health | Public Health or Welfare | 5800 W 10th St, Suite 401, Little Rock, AR 72204-1752 | 2007-03-26 |
| Street Address |
1742 HWY 65 AND 82 SOUTH |
| City | LAKE VILLAGE |
| State | AR |
| Zip Code | 71653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
| 1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
| 1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
| 1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
| 1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
| 1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
| 1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
| 1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
| 1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
| 1902075484 | Dalco Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2918 Louis Sessions, Lake Village, AR 71653 | 2008-02-28 |
| Find all providers in zip 71653 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942693965 | Robert S Murry Pta | Public Health or Welfare | 122 Valley Dr, Helena, AR 72342-0197 | 2015-03-16 |
| 1073927802 | Lynette Lemons | Public Health or Welfare | 3200 S Bryant St, Little Rock, AR 72204-5924 | 2014-06-19 |
| 1740409150 | First Choice Drug Testing and Occupational Health Services Inc. | Public Health or Welfare | 1423 South University Ave., Building 2, Little Rock, AR 72204-2605 | 2007-04-24 |
| 1922127687 | Department of Health and Human Services | Public Health or Welfare | 1501dawson Road, Forrest City, AR 72336 | 2007-03-27 |
| 1205954146 | Department of Health | Public Health or Welfare | 1501 Dawson Road, Forrest City, AR 72236 | 2007-03-27 |
| 1639293491 | Department of Health and Human Services | Public Health or Welfare | 27 West Township, Fayetteville, AR 72703 | 2007-03-19 |
| 1952433229 | Department of Health and Human Services | Public Health or Welfare | 100 Weaver Ave, Batesville, AR 72501-7314 | 2007-03-12 |
| 1750413027 | Department of Health and Human Services | Public Health or Welfare | 27 W Township St, Fayetteville, AR 72703-2821 | 2007-03-12 |
| 1376686436 | The Best Care Agency | Public Health or Welfare | 7411 Debbie Dr, Little Rock, AR 72209-2607 | 2007-02-15 |
| 1518979483 | Hempstead County Health Department | Public Health or Welfare | 808 W 5th St, Hope, AR 71801-5020 | 2006-08-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLAGE |
| Zip Code | 71653 |
Please comment or provide details below to improve the information on ARKANSAS DEPARTMENT OF HEALTH.
| 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.