STATE OF ARKANSAS (NPI# 1790805414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790805414 |
| Entity Type | Organization |
| Organization Name | STATE OF ARKANSAS |
| Other Organization Name | IHS MATERNAL INFANT |
| Practice Address |
5800 W 10th St Ste 300 Arkansas Dhhs Little Rock AR 72204-1764 |
| Mailing Address |
Division of Health Slot H5 P O Box 1437 Little Rock AR 72203-1437 |
| Practice Telephone | 5016612873 |
| Practice Fax Number | 5012804619 |
| Mailing Telephone | 5016612873 |
| Mailing Fax Number | 5012804619 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAWN GRAZIANI (DIRECTOR) |
| Authorized Official Telephone | 5016612154 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | AR 3971B | AR | Agencies |
| Other Name | Type Code |
|---|---|
| IHS Maternal Infant | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1023236163 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Center Cir, Warren, AR 71671-3033 | 2007-04-23 |
| 1477672608 | State of Arkansas | Case Management | 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 | 2007-03-28 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1407988355 | State of Arkansas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Prator Drive, Arkadelphia, AR 71923 | 2007-03-09 |
| 1487781027 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 14701 Highway 111, Alexander, AR 72002-1742 | 2007-02-28 |
| 1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
| 1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
| 1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
| 1912014192 | State of Arkansas | Home Health | # 22 Sherwood Plaza, Johnson County Health Unit, Clarksville, AR 72830-4337 | 2006-08-24 |
| Street Address |
5800 W 10TH ST STE 300 ARKANSAS DHHS |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72204-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477672608 | State of Arkansas | Case Management | 5800 W 10th St Ste 300, Arkansas Dhhs, Little Rock, AR 72204-1764 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952966 | Shane Wilson | Non-emergency Medical Transport (VAN) | 1522 S Tyler St, Little Rock, AR 72204 | 2018-08-16 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1275056004 | University of Arkansas for Medical Sciences | Orthopaedic Surgery | 108015 Colonel Glenn Rd, Little Rock, AR 72204 | 2017-07-24 |
| 1265954820 | Marilyn Marie Lynch | Registered Nurse | 7723 Colonel Glenn Road, Little Rock, AR 72204 | 2017-07-14 |
| 1962852954 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1122 S. University Ave, Little Rock, AR 72204 | 2016-06-21 |
| 1841607751 | Charity Gillespie | Registered Nurse | 5210 Timberland Dr, Little Rock, AR 72204 | 2014-07-14 |
| 1043625221 | Interventional Surgery Institute of Little Rock, LLC | Clinic/Center | 9 Freeway Drive, Suite A, Little Rock, AR 72204 | 2014-06-25 |
| 1548696065 | Jamie Washington | Prosthetic/Orthotic Supplier | 4701 Westwood Ave, Little Rock, AR 72204 | 2013-09-16 |
| 1124468913 | Stephanie Rachelle Jez | Genetic Counselor, MS | 5800 West 10th Street, Freeway Medical Building, Suite 7-500, Little Rock, AR 72204 | 2013-06-26 |
| 1336492321 | Alton Charles Phillips Sr. | Counselor | 4400shuffield Drive, Little Rock, AR 72204 | 2012-10-16 |
| Find all providers in zip 72204 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376686436 | The Best Care Agency | Public Health or Welfare | 7411 Debbie Dr, Little Rock, AR 72209-2607 | 2007-02-15 |
| 1023623089 | Savvy Kids Learning Center, Inc. | Public Health or Welfare | 3200 S Bryant St, Little Rock, AR 72204-5924 | 2020-09-15 |
| 1053789065 | Walmart | Public Health or Welfare | 2510 Cantrell Rd, Little Rock, AR 72202-2116 | 2015-09-08 |
| 1114264660 | Arkansas Department of Health Family Planning Clinic | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1548507080 | Arkansas Department of Health Std | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1184961625 | Arkansas Department of Health Immunizations | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1932446473 | Arkansas Department of Health Tuberculosis | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| 1073850517 | Arkansas Department of Health Public Health Labs | Public Health or Welfare | 4815 W Markham St, Little Rock, AR 72205-3866 | 2013-01-03 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72204 |
Please comment or provide details below to improve the information on STATE OF ARKANSAS.
| 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.