State Of Arkansas is a Home Health in Wynne, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Home Health. The NPI Number for State Of Arkansas is 1255341392. The last update date is 2008-10-01.
State Of Arkansas's current location address is 704 Canal Street, Wynne, Arkansas. You can contact this provider via phone number 8702382101 and fax number 8702384569. The mailing address for State Of Arkansas is 704 Canal Street, Wynne, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Arkansas |
|---|---|
| Address | 704 Canal Street, Wynne, Arkansas |
| Phone Number | 8702382101 |
| Fax Number | 8702384569 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HOME HEALT |
|---|---|
| Authorized Official Name | Evans Marilyn |
| Credentials | RN |
| Telephone Number | 5016612540 |
NPI Number Detail
| NPI Number | 1255341392 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2008-10-01 |
Provider Mailing Address Detail
| Address | 704 Canal Street |
|---|---|
| City | Wynne |
| State | Arkansas (AR) |
| Post Code | 723963042 |
| Phone Number | 8702382101 |
| Fax Number | 8702384569 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | AR4034 |
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Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104312514 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to State Of Arkansas by the Centers for Medicare & Medicaid Services?
The State Of Arkansas has been assigned the NPI (National Provider Identifier) 1255341392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of State Of Arkansas?
The State Of Arkansas is situated at 704 Canal Street, in the city of Wynne, state of AR, with the zip code 723963042.
What is State Of Arkansas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for State Of Arkansas is Home Health, and the taxonomy code that categorizes this field of expertise is 251E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1255341392 to State Of Arkansas?
The State Of Arkansas received its 1255341392 assignment from the Centers for Medicare & Medicaid Services on 2006-08-09.
As of what date were the details pertaining to State Of Arkansas last refreshed?
The information related to the State Of Arkansas, including its address, specialty, and other relevant details, was last updated on 2008-10-01.