NPIMap

Organization Active NPI

Department of Health

  • Public Health or Welfare Agency
  • Forrest City, AR
National Provider Identifier
1295854875
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
DEPARTMENT OF HEALTH
Practice address
1501 Dawson Road
Forrest City, AR 72236
Phone
(501) 661-2269
Fax
(501) 661-2855
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Terri S Wright, BBA
Title
Agency Program Coordinator
Phone
(501) 661-2859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1501 Dawson Road
Forrest City, AR 72236

Mailing address

4815 W Markham St
Slot 40
Little Rock, AR 72205-3866
Phone (501) 661-2859

Other identifiers 1

IdentifierTypeStateIssuer
146398730MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Department of Health and Human Services35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

1501 Dawson Rd
Forrest City, AR 72335
Phone (501) 661-2269

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1295854875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 W MARKHAM ST",
            "address_2": "SLOT 40",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053866",
            "telephone_number": "501-661-2859",
            "fax_number": "501-661-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 DAWSON ROAD",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "72236",
            "telephone_number": "501-661-2269",
            "fax_number": "501-661-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AGENCY PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "501-661-2859",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146398730",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.