South Arkansas Childrens Coalition

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

SOUTH ARKANSAS CHILDRENS COALITION

Practice address

1130 E Main St
El Dorado, AR 71730-6324

Phone

(870) 862-2272

Fax

(870) 862-2276

NPI assigned

Mar 12, 2019

Last updated

Mar 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karrah Clark, APRN, CPNP-PCNPI 1699236794

Title

Medical Examiner

Phone

(870) 562-3392

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Karrah Clark, APRN

  • Pediatric Nurse Practitioner
  • Tallulah, LA
  • NPI 1699236794
  NPD Authorized official

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1629536461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 SOUTHFIELD CUTOFF",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717303451",
            "telephone_number": "870-562-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MAIN ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717306324",
            "telephone_number": "870-862-2272",
            "fax_number": "870-862-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS CHILDRENS COALITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KARRAH",
        "authorized_official_title_or_position": "MEDICAL EXAMINER",
        "authorized_official_telephone_number": "870-562-3392",
        "authorized_official_credential": "APRN, CPNP-PC"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snell Prosthetic & Orthotic Laboratory
• South Ar Developmental Center for Children and Families
• South Ar Surgical Clinic of El Dorado, Inc
• South Arkansas Anesthesia Associates, LLC
• South Arkansas Caring Pregnancy Center (The Hannah Medical Center)
• South Arkansas Developmental Center
• South Arkansas Developmental Center for Children and Families
• South Arkansas Developmental Center for Children and Families
• South Arkansas Developmental Center for Children and Families
• South Arkansas Diagnostic Clinic

• Voluntary or Charitable Agency in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Voluntary or Charitable Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.