STATE OF ARKANSAS; NPI #1407988355

Contact Information

STATE OF ARKANSAS

1 PRATOR DRIVE
ARKADELPHIA, AR 71923

Phone: 870-246-8011
Fax: 870-230-8424
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for STATE OF ARKANSAS

NPI # 1407988355

LBN Legal business name STATE OF ARKANSAS

Authorized official MARGARET GREEN - (SUPERINTENDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/09/2007

Last updated 06/26/2008 - About 18 years ago

Identifiers

AR	License #	320900000X
AR	Medicaid	109055213

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for STATE OF ARKANSAS

Reviews for STATE OF ARKANSAS