Paul Holmes, MHPP
Individual provider Active NPI Case Manager/Care Coordinator · Fordyce, AR
NPI 1720243264 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1720243264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1101 W 3Rd St
Fordyce, AR 71742-3014 - Phone
- (870) 352-5122
- Fax
- (870) 352-5127
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| BHC Pinnacle Pointe Hospital LLC | Past | Accepting new patients | |
| Fordyce Counseling Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1101 W 3Rd St
Fordyce, AR 71742-3014
Mailing address
1101 W 3Rd St
Fordyce, AR 71742-3014
Phone (870) 352-5122
Other providers in Fordyce, AR
- Dianne Harris
- Harry R. Denison, P.a.
- Sharon Hence
- Frankie Hickman
- Lashonda Hollins
- Dawn Marie Hopper
- Hospital Care Consultants of Fordyce LLC
- Hugh a. Nutt M.D. P.a.
- Obbie James
- Eric Johnson
All providers in Fordyce, 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 Jul 24, 2008. 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.