1184911471 NPI number — HRA

Table of content: (NPI 1184911471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184911471 NPI number — HRA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HRA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
EASAP
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184911471
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2426 HWY 49
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WEST HELENA
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72390
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
870-572-3733
Provider Business Mailing Address Fax Number:
879-572-3785

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2426 HWY 49
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WEST HELENA
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
870-572-3733
Provider Business Practice Location Address Fax Number:
870-572-3785
Provider Enumeration Date:
07/07/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WILKERSON
Authorized Official First Name:
STEVE
Authorized Official Middle Name:
GLENN
Authorized Official Title or Position:
ALCOHOL / DRUG COUNSELOR
Authorized Official Telephone Number:
18705723733

Provider Taxonomy Codes

  • Taxonomy code: 302F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)