Lacy McCain, MHPP

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

NPI 1154607828 · NPPES record last updated Oct 26, 2011

Key facts

NPI
1154607828
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
100 Towson Ave
Fort Smith, AR 72901-2632
Phone
(479) 784-9801
Fax
(479) 784-9805
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Maxus Inc Past Accepting new patients
Maxus Inc. Past Accepting new patients

Specialties & licenses

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

Addresses

Primary practice location

100 Towson Ave
Fort Smith, AR 72901-2632

Mailing address

100 Towson Ave
Fort Smith, AR 72901-2632
Phone (479) 784-9801

Other providers in Fort Smith, AR

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

Sources for this page

Verify at the official NPI Registry.