Provider Demographics
NPI:1518979483
Name:HEMPSTEAD COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:HEMPSTEAD COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:MS
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:ARLENE
Authorized Official - Last Name:WALLS
Authorized Official - Suffix:
Authorized Official - Credentials:MNSC
Authorized Official - Phone:870-777-2191
Mailing Address - Street 1:1407 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-3822
Mailing Address - Country:US
Mailing Address - Phone:870-845-5779
Mailing Address - Fax:
Practice Address - Street 1:808 W 5TH ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-5020
Practice Address - Country:US
Practice Address - Phone:870-777-2191
Practice Address - Fax:870-777-6607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01564 ANP251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare