Provider Demographics
NPI:1508348038
Name:BHC PINNACLE POINTE HEALTHCARE
Entity Type:Organization
Organization Name:BHC PINNACLE POINTE HEALTHCARE
Other - Org Name:PINNACLE POINTE OUTPATIENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:UR MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-262-2766
Mailing Address - Street 1:1249 LAKESIDE RD
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7354
Mailing Address - Country:US
Mailing Address - Phone:501-262-2544
Mailing Address - Fax:501-262-2544
Practice Address - Street 1:139C E JACKSON AVE
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:AR
Practice Address - Zip Code:71655-4933
Practice Address - Country:US
Practice Address - Phone:870-224-8109
Practice Address - Fax:870-224-8110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-31
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health