Tina Hall, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

2310 Issued in AR

Legal business name

TINA HALL, INC

Practice address

1518 Highway 71 SE
Box 76
Mountainburg, AR 72946-3000

Phone

(479) 430-6398

NPI assigned

Jan 13, 2010

Last updated

Jan 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tina Hall, MA CCC-SLP

Title

President/Ceo

Phone

(479) 430-6398

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1750611752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 HIGHWAY 71 SE",
            "address_2": "BOX 76",
            "city": "MOUNTAINBURG",
            "state": "AR",
            "postal_code": "729463000",
            "telephone_number": "479-430-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 HIGHWAY 71 SE",
            "address_2": "BOX 76",
            "city": "MOUNTAINBURG",
            "state": "AR",
            "postal_code": "729463000",
            "telephone_number": "479-430-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA HALL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "479-430-6398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "AR",
            "license": "2310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Valley Primary Care Services (Mountainburg Family Clinic)
• Melanie Salas
• Zantha Elaine Sanderlin, MS,PT
• Claudia Sifford, PHARM.D.
• Jaclyn Start
• Lisa Anne Toth, APN
• Jonalee Vogel, APRN

• Early Intervention Provider Agency in Mountainburg, AR
• Providers in Mountainburg, AR by specialty
• Early Intervention Provider Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.