Logan Cates, MHPP

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

NPI 1144667882 · NPPES record last updated Jun 3, 2013

Key facts

NPI
1144667882
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
815 Fort St Ste a
Barling, AR 72923-2180
Phone
(479) 494-5700
Fax
(479) 484-8142
NPI assigned
Jun 3, 2013
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

815 Fort St Ste a
Barling, AR 72923-2180

Mailing address

4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 521-1427

Other providers in Barling, AR

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

Sources for this page

Verify at the official NPI Registry.