Calvice Casey
Individual provider Active NPI Case Manager/Care Coordinator · Mount Judea, AR
NPI 1003343047 · NPPES record last updated May 22, 2017
Key facts
- NPI
- 1003343047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- HC 32 Box 28
Mount Judea, AR 72655-9406 - Phone
- (870) 688-3422
- Fax
- (870) 688-3422
- NPI assigned
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
HC 32 Box 28
Mount Judea, AR 72655-9406
Mailing address
HC 32 Box 28
Mt Judea, AR 72655
Other providers in Mount Judea, AR
All providers in Mount Judea, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.