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Contact Information

NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
905 N 7TH ST
WEST MEMPHIS, AR72301-2001
 Phone: 870-735-4511
 Fax: 870-735-5260
 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 Number 1598058489
LBN Legal business name NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER
Authorized official DONNIE LYERLY - (CREDENTIALING)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/25/2011
Last updated 12/12/2012 - About 13 years ago
Identifiers
AR Medicaid 18417774
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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