From the Beginning CHMS Clinic
Organization Active NPI Developmental Disabilities Clinic/Center · Ash Flat, AR
NPI 1306979265 · NPPES record last updated Jun 16, 2008
Key facts
- NPI
- 1306979265
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmental Disabilities Clinic/Center 261QD1600X
- Legal business name
- FROM THE BEGINNING CHMS CLINIC
- Practice address
- 120 Nix Ridge Rd
Ash Flat, AR 72513-9017 - Phone
- (870) 994-3103
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Sherry Joann Bunch, LPE,LPC
- Title
- Executive Director
- Phone
- (870) 994-3103
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- From the Beginning
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Yes |
Addresses
Primary practice location
120 Nix Ridge Rd
Ash Flat, AR 72513-9017
Mailing address
120 Nix Ridge Rd
Ash Flat, AR 72513-9017
Phone (870) 994-3103
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150775724 | Medicaid | AR |
Other names
- Sherry Bunch Inc
Other providers in Ash Flat, AR
- Leslie Flowers
- Misti Flynn
- Amanda Foyler
- Wendy Frantal
- From the Beginning
- Kendra D Fuqua
- Daniel Gale
- Barry Gann
- Ellen Gann
- Shelley Lowe Garner
All providers in Ash Flat, AR · Developmental Disabilities Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.