Provider Demographics
NPI:1376845594
Name:HEALTH RESOURSES OF ARKANSAS
Entity type:Organization
Organization Name:HEALTH RESOURSES OF ARKANSAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CCS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-307-4825
Mailing Address - Street 1:1355 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72501-3159
Mailing Address - Country:US
Mailing Address - Phone:870-793-8900
Mailing Address - Fax:
Practice Address - Street 1:1355 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-3159
Practice Address - Country:US
Practice Address - Phone:870-793-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty