SOUTH ARKANSAS REGIONAL HEALTH CENTER (NPI# 1578777645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578777645 |
Entity Type | Organization |
Organization Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
Other Organization Name | BENCHMARK INDUSTRIES |
Practice Address |
1812 Lorene St El Dorado AR 71730-8129 |
Practice Telephone | 8708638133 |
Practice Fax Number | 8708634111 |
Mailing Telephone | 8708638133 |
Mailing Fax Number | 8708634111 |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. WILLIAM C. PEEL (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8708638133 |
Authorized Official Credential | PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
BENCHMARK INDUSTRIES | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184268021 | South Arkansas Regional Health Center | Clinic/Center | 144 S 5th St, Hampton, AR 71744-8958 | 2019-11-04 |
1619511557 | South Arkansas Regional Health Center | Clinic/Center | 223 E Elm St, Prescott, AR 71857-2148 | 2019-11-04 |
1376187203 | South Arkansas Regional Health Center | Clinic/Center | 119 W 3rd St, Fordyce, AR 71742-3220 | 2019-11-04 |
1568890788 | South Arkansas Regional Health Center | Community/Behavioral Health | 715 N College Ave, El Dorado, AR 71730-4403 | 2013-10-25 |
1467423384 | South Arkansas Regional Health Center | Clinic/Center | 715 N College Ave, El Dorado, AR 71730-4403 | 2006-01-30 |
Street Address |
1812 LORENE ST |
City | EL DORADO |
State | AR |
Zip Code | 71730-8129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669686739 | South Arkansas Regional Health Center Benchmark | Clinic/Center | 1812 Lorene St, El Dorado, AR 71730-8129 | 2007-05-09 |
1093961518 | Billy Pittman | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1073769501 | James E Lewis | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1003062506 | Beverly Griggs | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1538315064 | Cathy Havard | Registered Nurse | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1699921122 | Debra Plummer | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1811143340 | Phil Fredrich | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-15 |
1497901037 | Janis K Lacy | Case Manager/Care Coordinator | 1812 Lorene St, El Dorado, AR 71730-8129 | 2008-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
Find all providers in zip 71730 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962029694 | Developmental Milestones Adult Day Center | Clinic/Center | 700 N Missouri St, West Memphis, AR 72301-3150 | 2020-06-29 |
1891334835 | Abilities Pediatric Pllc | Clinic/Center | 908 Shorecrest Ave, Harrison, AR 72601-1953 | 2019-12-21 |
1912494527 | Equestrian Zone | Clinic/Center | 4800 S Frankfort Ave, Russellville, AR 72802-0823 | 2018-04-18 |
1174024715 | Lacretia Bruce | Clinic/Center | 12 Fox Run Dr, Little Rock, AR 72210-7133 | 2018-02-27 |
1215348552 | Tera Goodman | Clinic/Center | 15 Barber Dr, Hardy, AR 72542-9109 | 2014-05-08 |
1790124659 | Kidscorp of Fayetteville, Inc | Clinic/Center | 2210 Main Dr, Springdale, AR 72762-6802 | 2013-06-24 |
1710322094 | First Step Arkansas, LLC | Clinic/Center | 6263 Highway 49 South, Paragould, AR 72450 | 2013-05-01 |
1043536063 | Cb King Uam Campus | Clinic/Center | 1711 East Ash Street, Mcgehee, AR 71654 | 2010-04-15 |
1508037870 | Kids for The Future Rogers, Inc. | Clinic/Center | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2008-03-14 |
1306979265 | From The Beginning Chms Clinic | Clinic/Center | 120 Nix Ridge Rd, Ash Flat, AR 72513-9017 | 2007-03-13 |
Find all providers with the same taxonomy |
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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.