Provider Demographics
NPI:1366477911
Name:BHC PINNACLE POINTE HOSPITAL
Entity Type:Organization
Organization Name:BHC PINNACLE POINTE HOSPITAL
Other - Org Name:THE POINTE OUTPATIENT BEHAVIORAL HEALTH SERVICES/THE POINTE-CONWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-223-3322
Mailing Address - Street 1:2110 HIGDON FERRY RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-7288
Mailing Address - Country:US
Mailing Address - Phone:501-262-2766
Mailing Address - Fax:501-262-2544
Practice Address - Street 1:2215 E OAK ST STE 1
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032
Practice Address - Country:US
Practice Address - Phone:501-336-0511
Practice Address - Fax:501-336-4037
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BHC PINNACLE POINTE HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-12
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0850X
ARAR4343261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1366477911Medicaid