Organization Active NPI

Uhs of Benton, Inc.

Doing business as Rivendell Behavioral Health Services of AR

  • Adolescent and Children Mental Health Clinic/Center
  • West Helena, AR
National Provider Identifier
1649446964
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
UHS OF BENTON, INC.
Doing business as
Rivendell Behavioral Health Services of AR
Practice address
422 N Sebastian
West Helena, AR 72390-1935
Phone
(501) 316-1255
Fax
(501) 794-0908
NPI assigned
May 6, 2008
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Mr. Scott Williams
Title
Ceo
Phone
(501) 316-1255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

422 N Sebastian
West Helena, AR 72390-1935

Mailing address

422 N Sebastian
West Helena, AR 72390-1935
Phone (501) 316-1255

Other identifiers 1

IdentifierTypeStateIssuer
167273526MedicaidAR

Other names 1

  • Rivendell Behavioral Health Services of AR Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uhs of Benton LLC15 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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1649446964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N SEBASTIAN",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723901935",
            "telephone_number": "501-316-1255",
            "fax_number": "501-794-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N SEBASTIAN",
            "city": "WEST HELENA",
            "state": "AR",
            "postal_code": "723901935",
            "telephone_number": "501-316-1255",
            "fax_number": "501-794-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF BENTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-316-1255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167273526",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivendell Behavioral Health Services of AR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Helena, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.