Susan Hale

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

NPI 1124445432 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1124445432
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
105 Highway 9
Oxford, AR 72565
Phone
(501) 303-3105
NPI assigned
Mar 25, 2014
Sex
Female
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

105 Highway 9
Oxford, AR 72565

Mailing address

105 Highway 9
Oxford, AR 72565

Other practice location 1

3101 N Michigan St
Pittsburg, KS 66762-2543
Phone (620) 235-7170

Other providers in Oxford, AR

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

Sources for this page

Verify at the official NPI Registry.