NPIMap

Organization Active NPI

Health Resources of Arkansas, Inc.

  • Community/Behavioral Health Agency
  • Mountain Home, AR
National Provider Identifier
1457597999
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTH RESOURCES OF ARKANSAS, INC.
Practice address
2617 Highway 5 N
Mountain Home, AR 72653
Phone
(870) 425-5395
Fax
(870) 425-5132
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mr. Bernis Medlock
Title
Senior Vice President
Phone
(870) 793-8900

Specialties & licenses 1

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

Addresses

Primary practice location

2617 Highway 5 N
Mountain Home, AR 72653

Mailing address

25 Gap Rd
Batesville, AR 72501-8679
Phone (870) 793-8900

Other names 1

  • Phoenix House Other name

National Provider Directory

National Provider Directory
Tax ID family
Augusta Clinic30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1457597999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GAP RD",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725018679",
            "telephone_number": "870-793-8900",
            "fax_number": "870-793-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 HIGHWAY 5 N",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "870-425-5395",
            "fax_number": "870-425-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RESOURCES OF ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "MEDLOCK",
        "authorized_official_first_name": "BERNIS",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "870-793-8900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.