NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC (NPI# 1649750597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649750597 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC |
| Other Organization Name | MID SOUTH HEALTH SYSTEMS |
| Practice Address |
642 N Main St Salem AR 72576-9450 |
| Mailing Address |
2707 Browns Ln Jonesboro AR 72401-7213 |
| Practice Telephone | 8709724939 |
| Practice Fax Number | 8709724911 |
| Mailing Telephone | 8709724900 |
| Mailing Fax Number | 8709724968 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CARLA JONES (OFFICE MANAGER) |
| Authorized Official Telephone | 8709724900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| MID SOUTH HEALTH SYSTEMS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134685225 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 807 W Main St Ste A&b, Trumann, AR 72472-2611 | 2019-02-14 |
| 1891263091 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 623 N 9th St Ste 200, Augusta, AR 72006-2103 | 2018-11-06 |
| 1023598828 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 16520 White Dr., Batesville, AR 72501 | 2018-08-21 |
| 1396396859 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 837 Willett Road, Jonesboro, AR 72401 | 2019-09-26 |
| 1265908263 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 4451 N Washington St, Forrest City, AR 72335-7711 | 2018-10-17 |
| 1790265593 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 637 East Main St, Melbourne, AR 72556 | 2018-08-21 |
| 1477033322 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 33 Choctaw Trce, Cherokee Village, AR 72529-2702 | 2018-08-20 |
| 1750861688 | Northeast Arkansas Community Mental Health Center Inc | Community/Behavioral Health | 107 Laurel St, Newport, AR 72112-3327 | 2018-08-20 |
| 1972083806 | Northeast Arkansas Community Mental Health Center Inc | Substance Abuse Rehabilitation Facility | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2018-08-20 |
| 1336118207 | Northeast Arkansas Community Mental Health Center Inc | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2006-03-14 |
| Street Address |
642 N MAIN ST |
| City | SALEM |
| State | AR |
| Zip Code | 72576-9450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683932 | Lifelong Health Center, Inc. | Clinic/Center | 642 N Main St, Salem, AR 72576-0220 | 2006-03-14 |
| 1023474913 | Laurie Kathleen Romine | Case Manager/Care Coordinator | 642 N Main St, Salem, AR 72576 | 2016-01-07 |
| 1780063438 | Debra Alberts | Social Worker | 642 N Main St, Salem, AR 72576-9450 | 2015-05-28 |
| 1326343856 | Robin Stein | Social Worker | 642 N Main St, Salem, AR 72576 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
| 1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
| 1922261890 | Fulton County Hospital | Clinic/Center | 673 North Main St, Salem, AR 72576 | 2008-07-09 |
| 1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
| 1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
| Find all providers in zip 72576 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881153948 | Pause Counseling, LLC | Community/Behavioral Health | 202 Main St Ste 102104, Salem, NH 03079-3170 | 2019-03-18 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1477050326 | Oregon Wellness Network | Community/Behavioral Health | 2615 Portland Rd Ne, Salem, OR 97301-0124 | 2018-04-08 |
| 1700335536 | Joel M Suckow-md, LLC | Community/Behavioral Health | 388 State St Ste 701, Salem, OR 97301 | 2016-09-21 |
| 1073979696 | Family Preservation Services, Inc | Community/Behavioral Health | 4507 Malus Dr, Salem, VA 24153-7921 | 2016-01-12 |
| 1700252954 | Acenda, Inc. | Community/Behavioral Health | 168 E Broadway, Salem, NJ 08079-1153 | 2015-08-11 |
| 1265820880 | Leumas Lighted Life, LLC | Community/Behavioral Health | 32 W Clay St, Salem, VA 24153-3754 | 2015-01-05 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1245646967 | Community Alternatives Virginia, Inc. | Community/Behavioral Health | 119 Sheraton Dr, Salem, VA 24153-3003 | 2014-07-02 |
| 1417361312 | Multi-cultural Consultants, Ltd | Community/Behavioral Health | Freedom & Recovery Program, 3405 Deer Park Dr. Se, Salem, OR 97310-0001 | 2014-06-18 |
| Find all providers in SALEM | ||||
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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.