Organization Active NPI

Mississippi County Child Development Center

  • Health Maintenance Organization
  • Osceola, AR
National Provider Identifier
1275812620
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MISSISSIPPI COUNTY CHILD DEVELOPMENT CENTER
Practice address
315 E Union Ave
Osceola, AR 72370-3235
Phone
(870) 563-1331
Fax
(870) 563-1334
NPI assigned
Aug 16, 2011
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Ms. Britt D Speer
Title
Administrative
Phone
(870) 563-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

315 E Union Ave
Osceola, AR 72370-3235

Mailing address

315 E Union Ave
Osceola, AR 72370-3235
Phone (870) 563-1331

Other identifiers 1

IdentifierTypeStateIssuer
261QM1300XOtherARPRIVATE INSURANCE

National Provider Directory

National Provider Directory

Locations

315 E Union Ave
Osceola, AR 72370
Phone (870) 563-1331

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1275812620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 E UNION AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703235",
            "telephone_number": "870-563-1331",
            "fax_number": "870-563-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E UNION AVE",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723703235",
            "telephone_number": "870-563-1331",
            "fax_number": "870-563-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI COUNTY CHILD DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "BRITT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "870-563-1331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "261QM1300X",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.