Cory Chastain

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

NPI 1124256102 · NPPES record last updated Jun 29, 2009

Key facts

NPI
1124256102
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
503 SE Lindsey St
Hoxie, AR 72433-2224
Phone
(870) 886-1333
Fax
(870) 886-1334
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

503 SE Lindsey St
Hoxie, AR 72433-2224

Mailing address

PO Box 299
Hoxie, AR 72433-0299
Phone (870) 886-1333

Other providers in Hoxie, AR

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

Sources for this page

Verify at the official NPI Registry.