Harry Alcorn

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

NPI 1295058634 · NPPES record last updated Jun 17, 2020

Key facts

NPI
1295058634
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
6701 Highway 67 BLDG 4
Benton, AR 72015-8909
Phone
(501) 315-3344
NPI assigned
Mar 11, 2010
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X AR Yes

Addresses

Primary practice location

6701 Highway 67 BLDG 4
Benton, AR 72015-8909

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344

Other providers in Benton, AR

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

Sources for this page

Verify at the official NPI Registry.