Provider Demographics
NPI:1578777645
Name:SOUTH ARKANSAS REGIONAL HEALTH CENTER
Entity Type:Organization
Organization Name:SOUTH ARKANSAS REGIONAL HEALTH CENTER
Other - Org Name:BENCHMARK INDUSTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:PEEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:870-863-8133
Mailing Address - Street 1:1812 LORENE ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:AR
Mailing Address - Zip Code:71730-8129
Mailing Address - Country:US
Mailing Address - Phone:870-863-8133
Mailing Address - Fax:870-863-4111
Practice Address - Street 1:1812 LORENE ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:AR
Practice Address - Zip Code:71730-8129
Practice Address - Country:US
Practice Address - Phone:870-863-8133
Practice Address - Fax:870-863-4111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities