Home » Arkansas » 72556 » State Of Arkansas

State Of Arkansas

State Of Arkansas is a health care provider in Little Rock, AR. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1015 Haley St, Izard County Health Unit, Melbourne, AR 72556-8211, US
Practice Location Phone870-368-7790
Practice Location Fax870-368-7060
Legal Business NameSTATE OF ARKANSAS
Other Organization Name TypeDoing Business As Name
NPI ?1932120128
Entity TypeOrganization
Enumeration Date ? Jul 22, 2006
Last Update Date ? Aug 13, 2008
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of State Of Arkansas

SpecialtySpecializationLicenseLicense State
Home Health AR4030Arkansas

legacy-id-icon Legacy Provider IDs of State Of Arkansas

Provider IdIssuer StateIssuer TypeIssuer

official-icon Authorized Official of State Of Arkansas

An authorized official is an appointed official with the legal authority to make changes and/or updates to the State Of Arkansas's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Marilyn Evans (RN)
Authorized Official Title/PositionHOME HEALTH ADMINISTRATOR
Authorized Official Phone Number501-661-2540