John Gooch

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

NPI 1043876915 · NPPES record last updated May 15, 2019

Key facts

NPI
1043876915
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1200 W Center St
Greenwood, AR 72936-3716
Phone
(479) 452-5040
NPI assigned
May 15, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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
The Guidance Center - Ozark Clinic Past Accepting new patients
The Guidance Center - Van Buren Clinic Past Accepting new patients
The Guidance Center - Booneville Clinic Past Accepting new patients
The Guidance Center - New Center Past Accepting new patients
The Guidance Center - RCF Clarksville Past Accepting new patients
The Guidance Center - Waldron Clinic Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

1200 W Center St
Greenwood, AR 72936-3716

Mailing address

PO Box 23070
Barling, AR 72923-0070

Other providers in Greenwood, AR

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

Sources for this page

Verify at the official NPI Registry.