QUAPAW HOUSE (NPI# 1902443229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902443229 |
| Entity Type | Organization |
| Organization Name | QUAPAW HOUSE |
| Other Organization Name | QUAPAW HOUSE |
| Practice Address |
615 W Grand Ave Hot Springs AR 71901-3927 |
| Mailing Address |
505 W Grand Ave Hot Springs AR 71901-3931 |
| Practice Telephone | 5016090400 |
| Mailing Telephone | 5016233700 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | MRS. ANGELA RENEE MOSER (BILLING/ CLAIMS SPEC.) |
| Authorized Official Telephone | 5012048186 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUAPAW HOUSE, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCBS | 5G217 | 01 |
| Other Name | Type Code |
|---|---|
| Quapaw House | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3302 E Moore Ave, Searcy, AR 721435099 | 5012684181 | |
| 4323 Jefferson Ave, Texarkana, AR 718541515 | 8707730700 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | QUAPAW HOUSE INC | 505 W Grand Ave, Hot Springs, AR 71901-3931 |
| Street Address |
615 W GRAND AVE |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093105397 | Michelle Merriott | Social Worker | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2015-01-26 |
| 1770049884 | Greggory Earl Nimmons | Case Manager/Care Coordinator | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2019-02-13 |
| 1437621018 | Gary Wade Carter | Peer Specialist | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1558833046 | Amber Douglas | Counselor | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2018-12-20 |
| 1003277963 | Laboratory Corporation of America | Clinical Medical Laboratory | 615 W Grand Ave, Hot Springs, AR 71901-3927 | 2016-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306484860 | Eaglecrest Recovery LLC | Clinic/Center | 1106 Sw 2nd St, Bentonville, AR 72712-5026 | 2019-12-16 |
| 1407407570 | Serenity Park Recovery Clinic | Clinic/Center | 2711 W Roosevelt Rd, Little Rock, AR 72204-5668 | 2019-09-20 |
| 1447723143 | Sozo Recovery Centers Inc | Clinic/Center | 243 Nathan Ter, Jessieville, AR 71949-9289 | 2019-01-04 |
| 1346642634 | Addiction & Mental Health Services, LLC | Clinic/Center | 11215 Hermitage Rd Ste 204, Little Rock, AR 72211-3864 | 2014-09-18 |
| 1942403696 | Gateway House Inc | Clinic/Center | 3900 Armour Avenue, Fort Smith, AR 72904-4317 | 2007-06-08 |
| 1285273219 | True Self Recovery LLC | Clinic/Center | 1104 N 2nd St, Rogers, AR 72756-2834 | 2019-12-20 |
| 1255977054 | University of Arkansas for Medical Sciences | Clinic/Center | 4224 Shuffield Drive, Little Rock, AR 72205-7101 | 2019-11-27 |
| 1447780952 | Arc Rehabilitation Center Pa | Clinic/Center | 1 Lile Ct Ste 103, Little Rock, AR 72205-6239 | 2017-06-16 |
| 1013461987 | Jefferson Comprehensive Counseling Associates | Clinic/Center | 2304 W 29th Ave, Pine Bluff, AR 71603-5005 | 2016-08-09 |
| City | HOT SPRINGS |
| Zip Code | 71901 |
Please comment or provide details below to improve the information on QUAPAW HOUSE.
| 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.