State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4034 Issued in AR

Legal business name

STATE OF ARKANSAS

Doing business as

Cross County Health Unit

Practice address

704 Canal Street
Cross County Health Unit
Wynne, AR 72396-3042

Phone

(870) 238-2101

Fax

(870) 238-4569

NPI assigned

Aug 9, 2006

Last updated

Oct 1, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ARKANSASAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marilyn Evans, RN

Title

Home Health Administrator

Phone

(501) 661-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cross County Health Unit Doing business as

Part of

State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Arkansas

  • Skilled Nursing Facility
  • North Little Rock, AR
  • NPI 1689117756

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathey Dianne Boeckmann, A.P.N.

  • Women's Health Nurse Practitioner
  • Wynne, AR
  • NPI 1346284841
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1255341392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CANAL STREET",
            "address_2": "CROSS COUNTY HEALTH UNIT",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723963042",
            "telephone_number": "870-238-2101",
            "fax_number": "870-238-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Bernard Community Hospital Corporation
• St Bernard Community Hospital Corporation
• St Bernards Community Hospital Corp (Crossridge Community Hospital)
• St Bernards Hospital Inc (St Bernards Dialysis Wynne)
• Maranda Stallings, MHPP
• Priscilla Stegall, QBHP
• Keenen Stewart
• W.D. Stewart Jr., D.D.S.
• Russell Stricklin, D.D.S
• Paula Stroud

• Home Health Agency in Wynne, AR
• Providers in Wynne, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.