Active NPI
Crittenden Cares, Inc.
- Clinic/Center
- West Memphis, AR
National Provider Identifier
1750326021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 3036139
- Legal business name
- CRITTENDEN CARES, INC.
- Doing business as
- Crittenden Professional Services
- Practice address
- 308 S Rhodes St
West Memphis, AR 72301-4215 - Phone
- (870) 732-3353
- Fax
- (870) 732-2662
- NPI assigned
- Jun 19, 2006
- Organization subpart
- Yes
- Parent organization
- CRITTENDEN CARES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James R Carter
- Title
- Ceo
- Phone
- (870) 735-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 3036139 | AR | Primary |
Addresses
Primary practice location
308 S Rhodes St
West Memphis, AR 72301-4215
Mailing address
308 S Rhodes St
West Memphis, AR 72301-4215
Phone (870) 732-3353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5F014 | Other | AR | BLUE CROSS BLUE SHIELD |
| 2692710 | Other | AR | AETNA |
Other names 1
- Crittenden Professional Services
National Provider Directory
National Provider Directory- Part of
- Crittenden Cares Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Infectious Disease Physician
- West Memphis, AR
- NPI 1700842994
Member Of
Locations
228 W Tyler Ave
Ste 108
West Memphis, AR 72301
Phone (870) 732-3353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1750326021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 S RHODES ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014215",
"telephone_number": "870-732-3353",
"fax_number": "870-732-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 S RHODES ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014215",
"telephone_number": "870-732-3353",
"fax_number": "870-732-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENDEN CARES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRITTENDEN CARES, INC",
"enumeration_date": "2006-06-19",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-735-1500",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "AR",
"license": "3036139",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "5F014",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2692710",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crittenden Professional Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.