Uhs of Benton, Inc.

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

UHS OF BENTON, INC.

Doing business as

Rivendell Behavioral Health Services of AR

Practice address

278 S Florida St
Marianna, AR 72360-2741

Phone

(501) 316-1255

Fax

(501) 794-0908

NPI assigned

May 6, 2008

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Williams

Title

Ceo

Phone

(501) 316-1255

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rivendell Behavioral Health Services of AR Doing business as

Tax ID family

Uhs of Benton LLC15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

• Rivendell - Outreach Arkadelphia

  dba UHS of Benton

  • Community/Behavioral Health Agency
  • Arkadelphia, AR
  • NPI 1568782894
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Fordyce, AR
  • NPI 1013087261
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adult Mental Health Clinic/Center
  • Little Rock, AR
  • NPI 1144394834
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adult Mental Health Clinic/Center
  • Marion, AR
  • NPI 1407926637
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Forrest City, AR
  • NPI 1457421687
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of AR

  • Adolescent and Children Mental Health Clinic/Center
  • Searcy, AR
  • NPI 1578739892
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adult Mental Health Clinic/Center
  • Cabot, AR
  • NPI 1649340860
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of AR

  • Adolescent and Children Mental Health Clinic/Center
  • West Helena, AR
  • NPI 1649446964
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Pine Bluff, AR
  • NPI 1699845818
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Batesville, AR
  • NPI 1710057963
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of AR

  • Adolescent and Children Mental Health Clinic/Center
  • Wynne, AR
  • NPI 1740456060
  NPD tax ID
• Uhs of Benton, Inc.

  dba Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Hot Springs, AR
  • NPI 1881764975
  NPD tax ID

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1386810604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 S FLORIDA ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602741",
            "telephone_number": "501-316-1255",
            "fax_number": "501-794-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 S FLORIDA ST",
            "city": "MARIANNA",
            "state": "AR",
            "postal_code": "723602741",
            "telephone_number": "501-316-1255",
            "fax_number": "501-794-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF BENTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-316-1255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167272526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivendell Behavioral Health Services of AR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Marianna, AR
• Providers in Marianna, AR by specialty
• Adolescent and Children Mental Health Clinic/Center in Arkansas

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