Full Potential
Organization Active NPI Health Maintenance Organization · Alexander, AR
NPI 1346513637 · NPPES record last updated Feb 16, 2012
Key facts
- NPI
- 1346513637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Maintenance Organization 302R00000X
- License
- OT-A471 (AR)
- Legal business name
- FULL POTENTIAL
- Practice address
- 1032 Skyline Dr
Alexander, AR 72002-1749 - Phone
- (870) 814-5180
- NPI assigned
- Feb 16, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Wanda Nelson
- Title
- Biller
- Phone
- (501) 562-5400
Corporate family (same tax ID) 3
Practitioners 1
-
Carrie E. White, COTA
National Provider Directory
- Tax ID family
- Full Potential
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | OT-A471 | AR | Yes |
Addresses
Primary practice location
1032 Skyline Dr
Alexander, AR 72002-1749
Mailing address
1032 Skyline Dr
Alexander, AR 72002-1749
Phone (870) 814-5180
Other providers in Alexander, AR
- Endeavor Counseling LLC
- Madison Ferrell
- Meagan Fleming
- Schwanda Flowers
- Full Circle Home Health Care, LLC
- Angeletta Giles
- Melissa Griffin
- Harmony Clinic and Medspa, LLC
- T'Shara E Harper
- Misty Leigh Hartwick
All providers in Alexander, AR · Health Maintenance Organization in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2012. 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.