1326167966 NPI number — ARKANSAS DEPARTMENT OF HUMAN SERVICES

Table of content: (NPI 1326167966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326167966 NPI number — ARKANSAS DEPARTMENT OF HUMAN SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARKANSAS DEPARTMENT OF HUMAN SERVICES
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:
Provider Other Organization Name Type Code:
6
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:
1326167966
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P O BOX 1437 SLOT N505
Provider Second Line Business Mailing Address:
108 E 7TH ST
Provider Business Mailing Address City Name:
LITTLE ROCK
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72203-1437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
501-682-8663
Provider Business Mailing Address Fax Number:
501-683-5608

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
700 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE S-380
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72201-4608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-682-1464
Provider Business Practice Location Address Fax Number:
501-682-8247
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HOLDER
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
PROGRAM ADMINISTRATOR
Authorized Official Telephone Number:
501-682-1464

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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