Organization Active NPI

Cross Hope Treatment Centers, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mountain Home, AR
National Provider Identifier
1922675685
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CROSS HOPE TREATMENT CENTERS, PLLC
Practice address
400 S College St Ste 3
Mountain Home, AR 72653-3991
Phone
(870) 424-2100
Fax
(870) 424-2323
NPI assigned
Jun 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Authorized official

Name
Charles L Tucker, MD
Title
Medical Director
Phone
(870) 424-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202D00000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

400 S College St Ste 3
Mountain Home, AR 72653-3991

Mailing address

PO Box 470
Elmendorf, TX 78112-0470
Phone (870) 424-2100

Other practice location 1

1301 Ridgway Rd Ste 1C
Pine Bluff, AR 71603-7610
Phone (870) 395-7017

National Provider Directory

National Provider Directory

Locations

400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1922675685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "ELMENDORF",
            "state": "TX",
            "postal_code": "781120470",
            "telephone_number": "870-424-2100",
            "fax_number": "870-424-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S COLLEGE ST STE 3",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533991",
            "telephone_number": "870-424-2100",
            "fax_number": "870-424-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Ridgway Rd Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716037610",
            "country_code": "US",
            "telephone_number": "870-395-7017",
            "fax_number": "870-395-7377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSS HOPE TREATMENT CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "870-424-2100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.