Organization Active NPI

Faulkner Health Corporation

  • Durable Medical Equipment & Medical Supplies
  • Rogers, AR
National Provider Identifier
1770674491
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
002351 Issued in AR
Legal business name
FAULKNER HEALTH CORPORATION
Practice address
222 South First Street
Rogers, AR 72756-4504
Phone
(479) 286-5042
Fax
(479) 464-8098
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Mrs. Phyllis A Stayton, R.N.
Title
Director of Clinical Services
Phone
(417) 343-5401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 002351 AR Primary

Addresses

Primary practice location

222 South First Street
Rogers, AR 72756-4504

Mailing address

222 South First Street
Rogers, AR 72756-4504
Phone (479) 286-5042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1770674491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTH FIRST STREET",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-286-5042",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTH FIRST STREET",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-286-5042",
            "fax_number": "479-464-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULKNER HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "STAYTON",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "417-343-5401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": "002351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.