Wagnon Place Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

328 Issued in AR

Legal business name

WAGNON PLACE INC

Practice address

1440 E Church St
Warren, AR 71671-3528

Phone

(870) 226-6766

Fax

(870) 226-7430

NPI assigned

Sep 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dorothy Sue Wagnon

Title

Administrator Owner

Phone

(870) 226-6766

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306832969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716710230",
            "telephone_number": "870-226-6766",
            "fax_number": "870-226-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E CHURCH ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713528",
            "telephone_number": "870-226-6766",
            "fax_number": "870-226-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNON PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "870-226-6766",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristie Thomas
• Jamal Tolefree
• Andrew Turner
• University of Arkansas for Medical Sciences (Kids First Warren)
• Wagnon Place Health Facilities
• Walgreen Co (Walgreens #15817)
• Tiffany Wargo, APRN
• Warren Obstetrics and Gynecology, PA
• Warren School District
• Michelle Cathey Weaver, MD

• Skilled Nursing Facility in Warren, AR
• Providers in Warren, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.