Organization Active NPI

Hot Springs AIDS Resource Center

Doing business as Tuggle Clinic

  • General Practice Physician
  • Hot Springs, AR
National Provider Identifier
1972897056
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOT SPRINGS AIDS RESOURCE CENTER
Doing business as
Tuggle Clinic
Practice address
1801 Central Ave
Suite a
Hot Springs, AR 71901-6848
Phone
(501) 623-5598
Fax
(501) 623-5516
NPI assigned
Jun 6, 2011
Last updated
Sep 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Mr. Mike Melancon
Title
Billing Manager
Phone
(501) 623-5598

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1801 Central Ave
Suite a
Hot Springs, AR 71901-6848

Mailing address

1801 Central Ave
Suite a
Hot Springs, AR 71901-6848
Phone (501) 623-5598

Other names 1

  • TUGGLE CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110816000804 AR Part B Supplier - Clinic/Group Practice 6608045273 Receives reassigned benefits from 1 practitioner
Practice locations: Hot Springs, AR

National Provider Directory

National Provider Directory
Tax ID family
Hot Springs AIDS Resource Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1972897056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016848",
            "telephone_number": "501-623-5598",
            "fax_number": "501-623-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016848",
            "telephone_number": "501-623-5598",
            "fax_number": "501-623-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOT SPRINGS AIDS RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "501-623-5598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUGGLE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.