State of Arkansas

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR3996 Issued in AR

Legal business name

STATE OF ARKANSAS

Doing business as

Jefferson County Health Unit

Practice address

3400 West 34TH Street
Jefferson County Health Unit
Pine Bluff, AR 71603-3933

Phone

(870) 535-2142

Fax

(870) 534-2970

NPI assigned

Aug 9, 2006

Last updated

Aug 13, 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

• Jefferson 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

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1447260492",
    "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": "3400 WEST 34TH STREET",
            "address_2": "JEFFERSON COUNTY HEALTH UNIT",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033933",
            "telephone_number": "870-535-2142",
            "fax_number": "870-534-2970"
        }
    ],
    "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": "2008-08-13",
        "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": "AR3996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104312514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson County Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Arkansas Primary Care Associates
• Southern Medical Associates, PLLC
• Anja Spadoni, MHPP
• Kimberly M Spivey, P.T.
• Austin Gage Stanage, PHARMD
• Charles J Stearns, MD
• Allison Steele
• Meredith Renee Stefanik, PHARMD
• Stephen a Broughton, MD PA (The Broughton Clinic)
• Stephens Chiropractic Clinic Inc. (Family Chiropractic Clinic)

• Home Health Agency in Pine Bluff, AR
• Providers in Pine Bluff, 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 13, 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.