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Contact Information

NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
1500 W MAIN ST
CORNING, AR72422-1932
 Phone: 870-573-3080
 Fax: 870-972-4911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER

NPI # 1003109232
LBN Legal business name NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Authorized official DONNIE LYERLY - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/20/2011
Last updated 04/22/2022 - About 4 years ago
Identifiers
AR Medicaid 184176767
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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