DIVINE INTERVENTIONS


Address: 425-a N. Centennial, West Fork, AR 72774-1006
Phone: 4798392670

DIVINE INTERVENTIONS (NPI# 1386895100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386895100
Entity Type Organization
Organization Name DIVINE INTERVENTIONS
Other Organization Name COMPASSION HEALTH CLINIC
Practice Address 425-a N. Centennial
West Fork
AR 72774-1006
Mailing Address Po Box 1006
West Fork
AR 72774-1006
Practice Telephone 4798392670
Practice Fax Number 4792946067
Mailing Telephone 4798392670
Mailing Fax Number 4792946067
Enumeration Date 2008-10-10
Last Update Date 2008-10-14
Authorized Official Name SANDY M BRANSON (MANAGER)
Authorized Official Telephone 4798392670
Authorized Official Credential APN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
A02935 AR Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
Compassion Health Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1699004010 Divine Interventions Counselor 1792 Pergola Pl, Charlotte, NC 28213-2107 2009-12-14
1295209997 Divine Interventions Case Management 11901 E 61st St, Kansas City, MO 64133-4351 2019-01-15

Office Location

Street Address 425-A N. CENTENNIAL
City WEST FORK
State AR
Zip Code 72774-1006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205030335 Sandy Michele Branson Registered Nurse 425-a N. Centennial, West Fork, AR 72774-1006 2007-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700377520 Access Medical Clinic Arkansas LLC Family Medicine 451 Phillips St, West Fork, AR 72774 2018-05-29
1063750495 Harps Food Stores, Inc Pharmacy 266 Three Dog Lane, West Fork, AR 72774 2013-01-18
1548405004 Growing God's Kingdom, Inc. Early Intervention Provider Agency 599 N. Centennial, West Fork, AR 72774 2008-12-11
1609488014 Lauren Lichty Physical Therapist 363 Mcknight Ave, West Fork, AZ 72774 2020-08-18
1750992848 Courtney Green Speech-Language Pathologist 363 Mcknight Ave, West Fork, AR 72774 2020-08-12
1790396257 Rachel Holland Speech-Language Pathologist 363 Mcknight Ave, West Fork, AR 72774 2020-08-10
1144708041 Kayla J Stinnett Speech-Language Pathologist 363 Mcknight Ave, West Fork, AR 72774 2018-08-02
1699261370 Mary Curran Occupational Therapy Assistant 363 Mcknight Ave, West Fork, AR 72774 2018-07-06
1730597733 Kelsey Alyssa Boutilier Speech-Language Pathologist 363 Mcknight Ave., West Fork, AR 72774 2014-07-23
1386798999 Superintendent of Elkins School District 10 Local Education Agency (LEA) 363 Mcknight, West Fork, AR 72774 2007-01-22
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1003449687 Amy Mary Elizabeth Daughhetee Nurse Practitioner 225 East Washington Ave, Jonesboro, AR 72401 2020-02-21
1528691912 Rachel Wetherington Nurse Practitioner 9501 Baptist Health Dr Ste 500, Little Rock, AR 72205-6225 2020-02-13
1932749561 Jennifer Breathitt Nurse Practitioner 4542 W Wedge Dr, Fayetteville, AR 72704-7532 2020-01-11
1124666482 Martha Lynn Brawner Nurse Practitioner 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 2019-12-18
1366089740 Katelyn Layne Ledbetter Nurse Practitioner 8 Summerwood Dr, Benton, AR 72019-1925 2019-12-05
1588213771 Wendy Joanne Hart Nurse Practitioner 601 W Maple Ave Ste 703, Springdale, AR 72764-5378 2019-09-10
1235796145 Nickey Noid Nurse Practitioner 1709 Cedar Dr, Bryant, AR 72019-6378 2019-05-26
1083175848 Lisa Renee Bridges Nurse Practitioner 423 Magnolia St, Marion, AR 72364-2811 2019-03-26
1922566785 Amanda Mcclure Nurse Practitioner 6801 Rogers Ave Fl 3, Fort Smith, AR 72903-4067 2019-03-11
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Competitor

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City WEST FORK
Zip Code 72774

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Dataset Information

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.

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