Provider Demographics
NPI:1154448819
Name:ARKANSAS DEPT. OF HEALTH AND HUMAN SERVICES
Entity Type:Organization
Organization Name:ARKANSAS DEPT. OF HEALTH AND HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FEDERAL FUNDS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:POLITTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-682-1264
Mailing Address - Street 1:PO BOX 1437
Mailing Address - Street 2:S 501 DYS FEDERAL FUNDS UNIT
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72203-1437
Mailing Address - Country:US
Mailing Address - Phone:501-682-1264
Mailing Address - Fax:501-682-1351
Practice Address - Street 1:700 MAIN STREET
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-4608
Practice Address - Country:US
Practice Address - Phone:501-682-1264
Practice Address - Fax:501-682-1351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health