Bokker Enterprises, Inc.

Organization Active NPI Community/Behavioral Health Agency · Highland, AR

NPI 1508040262 · NPPES record last updated Oct 24, 2019

Key facts

NPI
1508040262
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
BOKKER ENTERPRISES, INC.
Practice address
2012 Hwy 62-412
Highland, AR 72542-9477
Phone
(870) 856-3337
Fax
(870) 856-3334
NPI assigned
Dec 18, 2007
Organization subpart
No

Authorized official

Name
Dr. Lon Paul Bokker, PHD
Title
Ceo
Phone
(870) 856-3337

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

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

Practitioners 79

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

View all 79

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080307000218 AR Part B Supplier - Clinic/Group Practice 8628153194 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Highland, AR; Salem, AR

National Provider Directory

Tax ID family
Hope Behavioral Healthcare (2 organizations share this tax ID)

Locations

115 Turner Ln
Ste 2
Salem, AR 72576
Phone (870) 384-1744

Specialties & licenses

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

Addresses

Primary practice location

2012 Hwy 62-412
Highland, AR 72542-9477

Mailing address

PO Box 176
Cherokee Village, AR 72525-0176
Phone (870) 856-3337

Other names

  • Hope Behavioral Healthcare Doing business as

Other providers in Highland, AR

All providers in Highland, AR · Community/Behavioral Health Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.