State Of Arkansas is a Home Health in Benton, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Home Health. The NPI Number for State Of Arkansas is 1275543324. The last update date is 2008-09-16.
State Of Arkansas's current location address is 1612 Edison Ave, Benton, Arkansas. You can contact this provider via phone number 5017761606 and fax number 5013158484. The mailing address for State Of Arkansas is 1612 Edison Ave, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Arkansas |
|---|---|
| Address | 1612 Edison Ave, Benton, Arkansas |
| Phone Number | 5017761606 |
| Fax Number | 5013158484 |
| 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 | 1275543324 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2008-09-16 |
Provider Mailing Address Detail
| Address | 1612 Edison Ave |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720154630 |
| Phone Number | 5017761606 |
| Fax Number | 5013158484 |
Provider's Primary Taxonomy Detail
| Speciality | Home Health |
|---|---|
| Taxonomy | 251E00000X |
| Licence No | AR4020 |
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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 identifier 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) 1275543324 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the State Of Arkansas's physical address?
The State Of Arkansas is physically located at 1612 Edison Ave, in the city of Benton, AR, with the postal code 720154630.
What is State Of Arkansas's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The State Of Arkansas's specialized field of practice is Home Health, and the corresponding taxonomy code that categorizes this area of specialization is 251E00000X.
On what date did the State Of Arkansas receive its 1275543324 assignment from the Centers for Medicare & Medicaid Services?
The State Of Arkansas was assigned its 1275543324 by the Centers for Medicare & Medicaid Services on 2006-08-09.
When was the information pertaining to State Of Arkansas most recently updated or revised?
The details related to State Of Arkansas, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-16.