NPIMap

Organization Active NPI

Rivendell - Outreach Arkadelphia

  • Community/Behavioral Health Agency
  • Arkadelphia, AR
National Provider Identifier
1568782894
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RIVENDELL - OUTREACH ARKADELPHIA
Practice address
2749 Pine St
Suite B
Arkadelphia, AR 71923-4205
Phone
(870) 403-0830
NPI assigned
Jun 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Duane Runyan, PH.D.
Title
Ceo
Phone
(501) 316-1255

Specialties & licenses 1

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

Addresses

Primary practice location

2749 Pine St
Suite B
Arkadelphia, AR 71923-4205

Mailing address

2749 Pine St
Suite B
Arkadelphia, AR 71923-4205
Phone (870) 403-0830

Other names 1

  • UHS of Benton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rivendell - Outreach Arkadelphia15 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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1568782894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 PINE ST",
            "address_2": "SUITE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234205",
            "telephone_number": "870-403-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 PINE ST",
            "address_2": "SUITE B",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719234205",
            "telephone_number": "870-403-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVENDELL - OUTREACH ARKADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RUNYAN",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-316-1255",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UHS of Benton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.