Organization Active NPI

Coulter Technical Services Inc

  • EEG Technician
  • Benton, AR
National Provider Identifier
1386780559
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG TechnicianTaxonomy code 2472E0500X
Legal business name
COULTER TECHNICAL SERVICES INC
Practice address
2101 Congo
Suite 900
Benton, AR 72015-2750
Phone
(501) 860-6130
Fax
(501) 860-6054
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Sharon L Riggan, CPC
Title
Acct Representative
Phone
(501) 860-6130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 2472E0500X AR Primary

Addresses

Primary practice location

2101 Congo
Suite 900
Benton, AR 72015-2750

Mailing address

PO Box 8694
Hot Springs Village, AR 71910-8694
Phone (501) 860-6130

Other identifiers 1

IdentifierTypeStateIssuer
E8099OtherARELECTRONIC SUBMITTER

National Provider Directory

National Provider Directory

Locations

2101 Congo Rd
Ste 900
Benton, AR 72015
Phone (501) 315-8818

110 Cordoba Center Dr
Ste 5
Hot Springs Village, AR 71909
Phone (501) 915-9276

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1386780559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8694",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719108694",
            "telephone_number": "501-860-6130",
            "fax_number": "501-860-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CONGO",
            "address_2": "SUITE 900",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152750",
            "telephone_number": "501-860-6130",
            "fax_number": "501-860-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COULTER TECHNICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "RIGGAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCT REPRESENTATIVE",
        "authorized_official_telephone_number": "501-860-6130",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELECTRONIC SUBMITTER",
            "identifier": "E8099",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.