NPIMap

Organization Active NPI

South Arkansas Regional Health Center

Doing business as South Arkansas Regional Health Center Fordyce Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fordyce, AR
National Provider Identifier
1376187203
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUTH ARKANSAS REGIONAL HEALTH CENTER
Doing business as
South Arkansas Regional Health Center Fordyce Clinic
Practice address
119 W 3Rd St
Fordyce, AR 71742-3220
Phone
(870) 893-9928
NPI assigned
Nov 4, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH ARKANSAS REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Regina Pierce
Title
Chief Executive Officer
Phone
(870) 862-7921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

119 W 3Rd St
Fordyce, AR 71742-3220

Mailing address

715 N College Ave
El Dorado, AR 71730-4403

Other names 1

  • SOUTH ARKANSAS REGIONAL HEALTH CENTER FORDYCE CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
South Arkansas Regional Health Center Community Support Program17 organizations share this tax ID, including this one
Part of
South Arkansas Regional Health Center Community Support Program

Other organizations with this tax ID 16

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

View all 16

Locations

119 W 3rd St
Fordyce, AR 71742
Phone (870) 893-9928

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1376187203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 3RD ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717423220",
            "telephone_number": "870-893-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ARKANSAS REGIONAL HEALTH CENTER",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-862-7921"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH ARKANSAS REGIONAL HEALTH CENTER FORDYCE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fordyce, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.