Provider Demographics
NPI:1669745626
Name:EPOCH HEALTH
Entity type:Organization
Organization Name:EPOCH HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WARFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:870-761-6900
Mailing Address - Street 1:10700 N RODNEY PARHAM ROAD
Mailing Address - Street 2:STE C-10A
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212
Mailing Address - Country:US
Mailing Address - Phone:870-761-6900
Mailing Address - Fax:501-228-0115
Practice Address - Street 1:10700 N RODNEY PARHAM ROAD
Practice Address - Street 2:STE C-10A
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212
Practice Address - Country:US
Practice Address - Phone:870-761-6900
Practice Address - Fax:501-228-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARBL00123175261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center