Jason Cothran, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Barling, AR
NPI 1154577401 · NPPES record last updated Aug 18, 2008
Key facts
- NPI
- 1154577401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 10301 Mayo Dr
Barling, AR 72923-1660 - Phone
- (479) 494-5700
- Fax
- (479) 521-6520
- NPI assigned
- Aug 18, 2008
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
10301 Mayo Dr
Barling, AR 72923-1660
Mailing address
4253 N Crossover Rd
Fayetteville, AR 72703-4593
Phone (479) 521-5731
Other providers in Barling, AR
- Joan Cleveland
- Holly Michelle Cluck
- Otilia Cole
- Community Family Medical Clinic, LLC.
- Penny Cooper
- Craig Cox
- Lauren Cox
- James Crabill
- Andrea Crabtree
- Charles W Craft
All providers in Barling, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.