Organization Active NPI

Uhs of Benton, Inc.

Doing business as Rivendell Behavioral Health Services of Arkansas

  • Adolescent and Children Mental Health Clinic/Center
  • Pine Bluff, AR
National Provider Identifier
1699845818
Registry record updated Aug 22, 2020
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 Arkansas
Practice address
6210 Dollarway Rd
Suite 4
Pine Bluff, AR 71602-3733
Phone
(870) 247-3588
Fax
(870) 247-2072
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 1

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

Addresses

Primary practice location

6210 Dollarway Rd
Suite 4
Pine Bluff, AR 71602-3733

Mailing address

100 Rivendell Dr
Benton, AR 72015-9188
Phone (501) 316-1255

Other names 1

  • Rivendell Behavioral Health Services of Arkansas 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

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699845818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIVENDELL DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720159188",
            "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": "6210 DOLLARWAY RD",
            "address_2": "SUITE 4",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716023733",
            "telephone_number": "870-247-3588",
            "fax_number": "870-247-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UHS OF BENTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "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": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivendell Behavioral Health Services of Arkansas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.