Darrin Clark, MHPP

Individual provider Active NPI Case Manager/Care Coordinator · Barling, AR

NPI 1659601896 · NPPES record last updated Jan 11, 2010

Key facts

NPI
1659601896
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
10301 Mayo Dr
Barling, AR 72923-1660
Phone
(479) 494-5700
Fax
(479) 521-6520
NPI assigned
Jan 11, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

10301 Mayo Dr
Barling, AR 72923-1660

Mailing address

3352 N Futrall Dr
Fayetteville, AR 72703-4057
Phone (479) 521-1427

Other providers in Barling, AR

All providers in Barling, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.