Provider Demographics
NPI:1184639627
Name:SLEEP CENTERS OF ARKANSAS - SEARCY LLC
Entity Type:Organization
Organization Name:SLEEP CENTERS OF ARKANSAS - SEARCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNED MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:507-626-5856
Mailing Address - Street 1:PO BOX 1258
Mailing Address - Street 2:
Mailing Address - City:SEARCY
Mailing Address - State:AR
Mailing Address - Zip Code:72145
Mailing Address - Country:US
Mailing Address - Phone:501-268-6700
Mailing Address - Fax:501-268-6715
Practice Address - Street 1:306 EAST MARKET ST
Practice Address - Street 2:
Practice Address - City:SEARCY
Practice Address - State:AR
Practice Address - Zip Code:72143
Practice Address - Country:US
Practice Address - Phone:501-268-6700
Practice Address - Fax:501-268-6715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5F488261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
5F488Medicare ID - Type Unspecified