Provider Demographics
NPI:1992196190
Name:PRESENT DAY HEALTH PA
Entity Type:Organization
Organization Name:PRESENT DAY HEALTH PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:479-320-7100
Mailing Address - Street 1:213 W MONROE AVE
Mailing Address - Street 2:STE Q
Mailing Address - City:LOWELL
Mailing Address - State:AR
Mailing Address - Zip Code:72745-9451
Mailing Address - Country:US
Mailing Address - Phone:479-320-7100
Mailing Address - Fax:
Practice Address - Street 1:213 W MONROE AVE
Practice Address - Street 2:STE Q
Practice Address - City:LOWELL
Practice Address - State:AR
Practice Address - Zip Code:72745-9451
Practice Address - Country:US
Practice Address - Phone:479-320-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARMC-3091261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)