NPIMap

Organization Active NPI

CB King Infant Center

  • Developmental Disabilities Clinic/Center
  • McGehee, AR
National Provider Identifier
1053637074
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
01923 Issued in AR
Legal business name
CB KING INFANT CENTER
Practice address
1610 S 1St St
1610 S 1St St
MC Gehee, AR 71654-2908
Phone
(870) 222-4544
Fax
(870) 222-4550
NPI assigned
Apr 15, 2010
Last updated
Apr 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Authorized official

Name
Mrs. Sherry J. Gregory
Title
Office Manager
Phone
(870) 222-4544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 01923 AR Primary

Addresses

Primary practice location

1610 S 1St St
1610 S 1St St
MC Gehee, AR 71654-2908

Mailing address

1610 S 1St St
P.O. Box 1051
MC Gehee, AR 71654-2908
Phone (870) 222-4544

Other identifiers 1

IdentifierTypeStateIssuer
180547724MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
CB King Eudora Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1610 S 1st St
Mc Gehee, AR 71654
Phone (870) 222-4544

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271289600000",
    "number": "1053637074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 S 1ST ST",
            "address_2": "P.O. BOX 1051",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716542908",
            "telephone_number": "870-222-4544",
            "fax_number": "870-222-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 S 1ST ST",
            "address_2": "1610 S 1ST ST",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716542908",
            "telephone_number": "870-222-4544",
            "fax_number": "870-222-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB KING INFANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-15",
        "last_updated": "2010-04-15",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-222-4544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AR",
            "license": "01923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180547724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McGehee, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.