Mary Bahan in Jacksonville - Psychiatric/mental Health, Adult

Mary Bahan - NPI 1134259435

Mary Bahan is a Psychiatric/mental Health, Adult in Jacksonville, Arkansas. Mary Bahan practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Mary Bahan is 1134259435. The last update date is 2007-07-08.

Mary Bahan's current location address is 2411 W Main St, Jacksonville, Arkansas. You can contact this provider via phone number 5019825402 and fax number 5019825404. The mailing address for Mary Bahan is 2411 W Main St, Jacksonville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Bahan
Address 2411 W Main St, Jacksonville, Arkansas
Phone Number 5019825402
Fax Number 5019825404
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1134259435
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2411 W Main St
City Jacksonville
State Arkansas (AR)
Post Code 720764211
Phone Number 5019825402
Fax Number 5019825404

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No R42049
Definition:
A psychiatric nurse who cares for adult patients.

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FAQs about Mary Bahan

What is the unique 10-digit identification code issued to Mary Bahan by the Centers for Medicare & Medicaid Services?

The Mary Bahan has been assigned the NPI (National Provider Identifier) 1134259435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Mary Bahan is located?

The Mary Bahan is situated at the following address: 2411 W Main St, Jacksonville, AR, 720764211.

What is the Mary Bahan's specialty and taxonomy code?

The Mary Bahan's specialty is Psychiatric/mental Health, Adult, and the corresponding taxonomy code is 163Wp0809X.

On what date did Mary Bahan receive its 1134259435 assignment from the Centers for Medicare & Medicaid Services?

The Mary Bahan was assigned its 1134259435 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Mary Bahan most recently updated or revised?

The details related to Mary Bahan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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