State Of Arkansas in Alexander - Intermediate Care Facility, Intellectual Disabilities

State Of Arkansas - NPI 1487781027

State Of Arkansas is a Intermediate Care Facility, Intellectual Disabilities in Alexander, Arkansas. State Of Arkansas practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Arkansas is 1487781027. The last update date is 2008-06-25.

State Of Arkansas's current location address is 14701 Highway 111, Alexander, Arkansas. You can contact this provider via phone number 5018473506 and fax number 5018473688. The mailing address for State Of Arkansas is 14701 Highway 111, Alexander, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Arkansas
Address 14701 Highway 111, Alexander, Arkansas
Phone Number 5018473506
Fax Number 5018473688
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Helton A James
Telephone Number 5018473506

NPI Number Detail

NPI Number 1487781027
Provider Enumeration Date 2007-02-28
Last Updated Date 2008-06-25

Provider Mailing Address Detail

Address 14701 Highway 111
City Alexander
State Arkansas (AR)
Post Code 720021742
Phone Number 5018473506
Fax Number 5018473688

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 138
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109053213 AR --

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FAQs about State Of Arkansas

What is the unique 10-digit identifier code assigned to State Of Arkansas by the Centers for Medicare & Medicaid Services?

The State Of Arkansas has been issued the NPI (National Provider Identifier) 1487781027 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where State Of Arkansas's facilities are situated?

The facilities of State Of Arkansas are physically located at the following address: 14701 Highway 111, Alexander, AR, 720021742.

What is State Of Arkansas's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for State Of Arkansas is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy classification code that categorizes this area of expertise is 315P00000X.

On what date did the State Of Arkansas receive the assignment of its 1487781027 from the Centers for Medicare & Medicaid Services?

The State Of Arkansas was issued its 1487781027 by the Centers for Medicare & Medicaid Services on 2007-02-28.

As of what date was the information pertaining to State Of Arkansas, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to State Of Arkansas, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-25.

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