SOUTH ARKANSAS REGIONAL HEALTH CENTER CAMDEN CLINIC (NPI# 1710199815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710199815 |
| Entity Type | Organization |
| Organization Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER CAMDEN CLINIC |
| Practice Address |
211 Jackson St Sw Camden AR 71701-3941 |
| Mailing Address |
715 N College Ave El Dorado AR 71730-4403 |
| Practice Telephone | 8708365743 |
| Practice Fax Number | 8708366924 |
| Mailing Telephone | 8708627921 |
| Mailing Fax Number | 8708642490 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | DR. WILLIAM C PEEL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8708627921 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH ARKANSAS REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 137447726 | 05 |
| Street Address |
211 JACKSON ST SW |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-3941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118942 | Phyllis L Craig | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2006-03-16 |
| 1356986434 | Kendall Jones | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-11-12 |
| 1770056152 | Neatrice Strickland | Licensed Practical Nurse | 211 Jackson St Sw, Camden, AR 71701-3941 | 2019-01-08 |
| 1902377534 | Shanice Easter | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-12-07 |
| 1326539883 | Janet Box | Registered Nurse | 211 Jackson St Sw, Camden, AR 71701-3941 | 2018-05-21 |
| 1730633199 | Amy Burns | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2016-08-15 |
| 1457753030 | Dawn Deffenbaugh | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-25 |
| 1215339072 | Tayzchana Lewis | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-09-23 |
| 1114330214 | M Melinda Mcmahan | Counselor | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-06-05 |
| 1548680242 | Lakeesha Bryant | Case Manager/Care Coordinator | 211 Jackson St Sw, Camden, AR 71701-3941 | 2014-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1326252123 | South Arkansas Regional Health Center New Hope | Clinic/Center | 121 Jefferson St Sw, Camden, AR 71701-3945 | 2007-05-10 |
| 1023177714 | Connections Csp, Inc. | Clinic/Center | 124 N West St, Camden, DE 19934-1234 | 2006-12-08 |
| 1467511675 | Connections Csp, Inc. | Clinic/Center | 2197 Still Rd, Camden, DE 19934-3373 | 2006-12-06 |
| 1154978468 | Jon St. Peter Lcsw | Clinic/Center | 21 Elm St Ste 302, Camden, ME 04843-1902 | 2019-08-21 |
| 1821504564 | Omni Health Services, Inc. | Clinic/Center | 427 Market St, Camden, NJ 08102-1525 | 2017-12-18 |
| 1659425429 | Albemarle Mental Health Center | Clinic/Center | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-22 |
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| 1073113650 | Secure Foundation Counseling Pllc | Clinic/Center | 125 N Fisher St, Jonesboro, AR 72401-2116 | 2020-10-31 |
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| 1487272670 | Professional Counseling Associates Inc. | Clinic/Center | 977 East Cypress Street, Devalls Bluff, AR 72041 | 2020-07-14 |
| 1740807478 | Brighter Days Counseling and Wellness LLC | Clinic/Center | 100 Commercial Park Ct Apt 108, Maumelle, AR 72113-6986 | 2020-06-29 |
| 1861015745 | Counseling Associates, Inc. | Clinic/Center | 750 Boston St, Danville, AR 72833-7006 | 2020-05-26 |
| 1821610171 | Courageous Journey Psychological Services, LLC | Clinic/Center | 168 Bluefish Ave, Russellville, AR 72802-2407 | 2020-05-09 |
| 1891317293 | Cervantes Counseling Corporation | Clinic/Center | 406 Rena Rd, Van Buren, AR 72956-6507 | 2020-05-08 |
| 1487273199 | Restoring Hope Counseling and Consultation | Clinic/Center | 310 Mid Continent Plz Ste 325, West Memphis, AR 72301-1703 | 2020-04-13 |
| 1922637859 | New Patterns Counseling, LLC | Clinic/Center | 1905 Reveille Cir, Jacksonville, AR 72076-9157 | 2020-04-02 |
| 1417585019 | Positive Place Counseling and Consulting, LLC | Clinic/Center | 807 W 6th Ave, Pine Bluff, AR 71601-4031 | 2020-03-30 |
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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.