NPIMap

Organization Active NPI

Arkansas Support Network, Inc

  • Case Management Agency
  • Springdale, AR
National Provider Identifier
1720601412
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ARKANSAS SUPPORT NETWORK, INC
Practice address
6836 Isaac'S Orchard Rd
Springdale, AR 72762-6096
Phone
(479) 927-4100
Fax
(479) 927-4101
NPI assigned
May 28, 2020
Organization subpart
Yes
Parent organization
ARKANSAS SUPPORT NETWORK, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Virginia Trammell
Title
Coo
Phone
(479) 927-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

6836 Isaac'S Orchard Rd
Springdale, AR 72762-6096

Mailing address

6836 Isaac'S Orchard Rd
Springdale, AR 72762-6096
Phone (479) 927-4100

Other identifiers 1

IdentifierTypeStateIssuer
130675782MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Support Network Inc3 organizations share this tax ID, including this one
Part of
Arkansas Support Network Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 95

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 95

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1720601412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6836 ISAAC'S ORCHARD RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626096",
            "telephone_number": "479-927-4100",
            "fax_number": "479-927-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS SUPPORT NETWORK, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS SUPPORT NETWORK, INC",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "479-927-4100"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130675782",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.