Community Health and Immunization Services, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC

Practice address

10220 W Markham St Ste 201C
Little Rock, AR 72205-2183

Phone

(877) 358-8648

NPI assigned

May 14, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kara Anderson

Title

Director of Community Development

Phone

(480) 646-9031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1609287416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 E HARTFORD DR STE 200",
            "address_2": "SCOTTSDALE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557801",
            "telephone_number": "480-646-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10220 W MARKHAM ST STE 201C",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052183",
            "telephone_number": "877-358-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH AND IMMUNIZATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "DIRECTOR OF COMMUNITY DEVELOPMENT",
        "authorized_official_telephone_number": "480-646-9031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Worker in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Community Health Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.