State of Arkansas

Organization Active NPI Home Health Agency · Harrisburg, AR

NPI 1083635262 · NPPES record last updated Sep 11, 2008

Key facts

NPI
1083635262
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
AR4014 (AR)
Legal business name
STATE OF ARKANSAS
Practice address
119 N Main St
Poinsett County Health Unit
Harrisburg, AR 72432-1929
Phone
(870) 578-4480
Fax
(870) 578-9270
NPI assigned
Jul 22, 2006
Organization subpart
Yes
Parent organization (as reported)
STATE OF ARKANSAS

Authorized official

Name
Marilyn Evans, RN
Title
Home Health Administrator
Phone
(501) 661-2540

Member of 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Part of
State of Arkansas

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4014 AR Yes

Addresses

Primary practice location

119 N Main St
Poinsett County Health Unit
Harrisburg, AR 72432-1929

Mailing address

5800 West 10TH Street
Suite 300
Little Rock, AR 72204-1764
Phone (501) 661-2614

Other identifiers

IdentifierTypeStateIssuer
104312514MedicaidAR

Other names

  • Poinsett County Health Unit Doing business as

Other providers in Harrisburg, AR

All providers in Harrisburg, AR · Home Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.