State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4041 Issued in AR

Legal business name

STATE OF ARKANSAS

Doing business as

Logan County Health Unit /Boonville

Practice address

721 West 1St Street
Logan County Health Unit
Booneville, AR 72927-4567

Phone

(479) 675-4370

Fax

(479) 675-5852

NPI assigned

Jul 22, 2006

Last updated

Oct 10, 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

• Logan County Health Unit /Boonville 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

  dba Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1295726156

  Member Of

  NPD member

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1285655472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W 10TH ST",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041752",
            "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": "721 WEST 1ST STREET",
            "address_2": "LOGAN COUNTY HEALTH UNIT",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729274567",
            "telephone_number": "479-675-4370",
            "fax_number": "479-675-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-10-10",
        "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": "AR4041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan County Health Unit /Boonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Shurden, PTA
• Rachel Beth Sing, M.D.
• Smee Drug Store Inc (Smee Drug Store)
• South Logan Family Practice
• Cole Havard Stanton, OD
• State of Arkansas (Booneville Human Development Center)
• William Andrew Stevenson IV, M.D.
• Virginia L Strickland, APRN
• Superintendent of Booneville High School
• The Guidance Center - Booneville Clinic

• Home Health Agency in Booneville, AR
• Providers in Booneville, 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 10, 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.