State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR3978 Issued in AR

Legal business name

STATE OF ARKANSAS

Doing business as

Clark County Health Unit

Practice address

605 S 10TH St
Clark County Health Unit
Arkadelphia, AR 71923-7013

Phone

(870) 246-4078

Fax

(870) 246-9619

NPI assigned

Aug 9, 2006

Last updated

Jul 18, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ARKANSASAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marilyn Evans, RN

Title

Home Health Administrator

Phone

(501) 661-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clark County Health Unit Doing business as

Part of

State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Arkansas

  dba Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1295726156

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1023028156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 10TH ST",
            "address_2": "CLARK COUNTY HEALTH UNIT",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719237013",
            "telephone_number": "870-246-4078",
            "fax_number": "870-246-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clark County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monisha Stacey, AT
• Abby Catherine Stafford
• Donovan Christine Stafford
• Savannah Staggs
• Mickinzie Stapp
• State of Arkansas (Arkadelphia HDC)
• Mikala Lynn Steely, ST
• Steven Scott Byrd (Scott Byrd DDS)
• Hope Stevens
• Claire Jane Marie Stringfellow, MD

• Home Health Agency in Arkadelphia, AR
• Providers in Arkadelphia, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.