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Contact Information

BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM
1403 HOSPITAL DR
POCAHONTAS, AR72455-3847
 Phone: 870-892-4547
 Fax: 870-892-0707
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Delivered Meals

332U00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM

NPI # 1306011200
LBN Legal business name BLACK RIVER AREA DEVELOPMENT CORP. SENIOR CITIZENS PROGRAM
Authorized official JIM JANSEN - (DIRECTOR OF BLACK RIVER AREA DEV.)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers
AR Medicaid 120546753
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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