Michael Gillard
Individual provider Active NPI Case Manager/Care Coordinator · Magnolia, AR
NPI 1528423902 · NPPES record last updated Mar 12, 2019
Key facts
- NPI
- 1528423902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 621 E North St
Magnolia, AR 71753-3120 - Phone
- (870) 234-0739
- NPI assigned
- Dec 29, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
621 E North St
Magnolia, AR 71753-3120
Mailing address
1600 Aldersgate Rd Ste 200
Little Rock, AR 72205-6676
Phone (501) 661-0720
Other practice location 1
701 Arkansas Blvd
Texarkana, AR 71854-2105
Phone (870) 772-5028
Other providers in Magnolia, AR
- Frank Garcia
- Angela G Gardner
- Shelbi Coleen Garner
- Judith W Gaylord
- Teddra D Gilbert
- Courtney Goble
- Cheryl Goodheart
- Melissa Ann Goodson
- David Michael Goodwin
- Tara Lynn Goodwin
All providers in Magnolia, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.