Waldron Nursing Center,Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

646 Issued in AR

Legal business name

WALDRON NURSING CENTER,INC.

Practice address

1369 W 6TH St
Waldron, AR 72958-7642

Phone

(479) 637-3171

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Fred Watts

Title

Administrator

Phone

(479) 637-3171

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1073578720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 W 6TH ST",
            "address_2": "PO BOX 2230",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587642",
            "telephone_number": "479-637-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W 6TH ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587642",
            "telephone_number": "479-637-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDRON NURSING CENTER,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-637-3171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199657311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transitions Mental Health Services
• Erica Truelove, LAC
• Morgan Wadkins
• Waldron Family Dentistry PLLC
• Waldron Healthcare LLC
• Waldron Nursing Opco LLC
• Waldron Public Schools
• Waldron SNF Operations LLC
• Walgreen Co
• Phyllis Cleland Wilcox, PD

• All providers in Waldron, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.