STATE OF ARKANSAS; NPI #1417986555

Contact Information

STATE OF ARKANSAS

207 S JEFFERSON
COLUMBIA COUNTY HEALTH UNIT
MAGNOLIA, AR 71753-3901

Phone: 501-661-2698
Fax: 501-280-4626
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for STATE OF ARKANSAS

NPI # 1417986555

LBN Legal business name STATE OF ARKANSAS

Authorized official GAYLA LANUM - (HOSPICE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/01/2006

Last updated 10/09/2012 - About 14 years ago

Identifiers

AR	License #	AR3636
AR	Medicaid	123489747
AR	Other	AR3606	AR STATE HOPSICE LICENSE

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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STATE OF ARKANSAS

Contact Information

Specialty

Hospice Care, Community Based

NPI Profile & details for STATE OF ARKANSAS

Reviews for STATE OF ARKANSAS