NPIMap

Organization Active NPI

Southeast Arkansas Behavioral Healthcare System

  • Community/Behavioral Health Agency
  • Rison, AR
National Provider Identifier
1386259083
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SOUTHEAST ARKANSAS BEHAVIORAL HEALTHCARE SYSTEM
Practice address
402 N. Main Street
Suite 2
Rison, AR 71665
Phone
(870) 325-6661
NPI assigned
Sep 10, 2020
Last updated
Sep 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Authorized official

Name
Tiffany Coleman
Title
Credentialing Clerk
Phone
(870) 534-1834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

402 N. Main Street
Suite 2
Rison, AR 71665

Mailing address

402 N. Main Street
Suite 2
Rison, AR 71665
Phone (870) 325-6661

National Provider Directory

National Provider Directory
Tax ID family
Southeast Arkansas Behavioral Healthcare System Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1386259083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N. MAIN STREET",
            "address_2": "SUITE 2",
            "city": "RISON",
            "state": "AR",
            "postal_code": "71665",
            "telephone_number": "870-325-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N. MAIN STREET",
            "address_2": "SUITE 2",
            "city": "RISON",
            "state": "AR",
            "postal_code": "71665",
            "telephone_number": "870-325-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST ARKANSAS BEHAVIORAL HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIALING CLERK",
        "authorized_official_telephone_number": "870-534-1834"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.