Applegate Health Services, Inc
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · El Dorado, AR
NPI 1780114611 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1780114611
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- APPLEGATE HEALTH SERVICES, INC
- Practice address
- 403 W Oak St Ste 105
El Dorado, AR 71730-4573 - Phone
- (870) 639-6900
- NPI assigned
- Jun 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Practitioners 2
-
Nicole Critton, FNP-C
-
Mimo Rose Lemdja, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2131230 | Applegate Health Services, Inc | Certificate of waiver | May 23, 2027 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
403 W Oak St Ste 105
El Dorado, AR 71730-4573
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 373-3001
Other names
- AppleGate Recovery El Dorado
Other providers in El Dorado, AR
- Anaya Medical, Inc
- Anaya Medical, Inc
- Liviu M. Anca
- Roshonda L Anderson
- Gary P Anzalone
- Arkansas Asthma & Lung Centers Inc
- Arkansas Hospice, Inc.
- Arkansas Nephrology Services, LTD.
- Arkansas Nephrology Services, LTD.
- Arkansas Urology, P.a.
All providers in El Dorado, AR · Substance Use Disorder Rehabilitation Clinic/Center 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 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.