Mazlynn Heathcare Service

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAZLYNN HEATHCARE SERVICE

Doing business as

mazlynn family heathceare

Practice address

169 North 2 Ave
Hartford, AR 36344

Phone

(334) 714-8384

NPI assigned

Oct 14, 2009

Last updated

Oct 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby D Pugh

Title

Owner

Phone

(334) 714-8384

Specialties & licenses 1

Addresses

Other names 1

• mazlynn family heathceare Doing business as

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1114252814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1104",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363751104",
            "telephone_number": "334-886-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 NORTH 2 AVE",
            "city": "HARTFORD",
            "state": "AR",
            "postal_code": "36344",
            "telephone_number": "334-714-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZLYNN HEATHCARE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-714-8384",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mazlynn family heathceare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Area Agency on Aging of Western Arkansas, Inc
• Elizabeth Danielle Euston
• Alicia Ann Hammonds, M.S., CCC-SLP
• Hartford School District
• Jennifer Jean Levart, LPC
• Leslie Susanne Spencer, M.S., CCC-SLP

• Clinic/Center in Hartford, AR
• Providers in Hartford, AR by specialty
• Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.