Tiffany Campos, MHPP

Individual provider Active NPI Case Manager/Care Coordinator · Atkins, AR

NPI 1003256207 · NPPES record last updated Jul 2, 2013

Key facts

NPI
1003256207
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1309 N Church St
Atkins, AR 72823-3230
Phone
(479) 641-0730
Fax
(479) 641-0732
NPI assigned
Jul 2, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Maxus Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1309 N Church St
Atkins, AR 72823-3230

Mailing address

1309 N Church St
Atkins, AR 72823-3230
Phone (479) 641-0730

Other providers in Atkins, AR

All providers in Atkins, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.