State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR3976 Issued in AR

Legal business name

STATE OF ARKANSAS

Doing business as

Carroll County Health Unit

Practice address

402 Hailey Rd
Carroll County Health Unit
Berryville, AR 72616-5077

Phone

(870) 423-2923

Fax

(870) 423-2659

NPI assigned

Aug 9, 2006

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF ARKANSASAs reported in NPPES

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

Authorized official

Name

Marilyn Evans, RN

Title

Home Health Administrator

Phone

(501) 661-2540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carroll County Health Unit Doing business as

Part of

State of Arkansas

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Arkansas

  dba Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1295726156

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita B. Rissler, CNM

  • Advanced Practice Midwife
  • Berryville, AR
  • NPI 1447477070
  NPD (past)
• Amanda Nicole Tollett, WHNP-BC, FNP-C

  • Family Nurse Practitioner
  • Harrison, AR
  • NPI 1497329247
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1376553404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 WEST 10TH STREET",
            "address_2": "SUITE 300",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722041764",
            "telephone_number": "501-661-2614",
            "fax_number": "501-661-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 HAILEY RD",
            "address_2": "CARROLL COUNTY HEALTH UNIT",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726165077",
            "telephone_number": "870-423-2923",
            "fax_number": "870-423-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF ARKANSAS",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "HOME HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "501-661-2540",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara B. Sroges, M.ED.,CCC-SLP
• St Johns Clinic Inc (SJC-Berryville Family Practice)
• St Johns Clinic Inc
• St Johns Clinic Inc (SJC-Berryville)
• St. John's Clinic, Inc. (William K. Flake, MD)
• Nikki Summerville Stidham, COTA/L
• Brianna Still
• Superintendent of Berryville High School
• Karen J Swogger, CRNA
• Kent E Swogger, CRNA

• Home Health Agency in Berryville, AR
• Providers in Berryville, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.