Vernon Harris
Individual provider Active NPI Case Manager/Care Coordinator · Mabelvale, AR
NPI 1699890772 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1699890772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 10600 Train Station Dr Ste C
Mabelvale, AR 72103-1644 - Phone
- (501) 753-8400
- Fax
- (501) 332-4403
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TFS of Gurdon Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
10600 Train Station Dr Ste C
Mabelvale, AR 72103-1644
Mailing address
829 Halbert St
Malvern, AR 72104-2607
Phone (501) 332-4400
Other providers in Mabelvale, AR
- Fred'S Stores of Tennessee Inc
- Fred'S Stores of Tennessee Inc.
- Iris Lakeith Golden Griffith
- Kyle Mark Griffin
- Cecelia Harris
- Carol Sue Heavin
- Brittney Humphrey
- Christine Jeffrey
- Kizmet Johnson
- Karing 4 U Supportive Living LLC
All providers in Mabelvale, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.