Provider Demographics
NPI:1740635788
Name:CENTRAL ARKANSAS CORF
Entity type:Organization
Organization Name:CENTRAL ARKANSAS CORF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELL-HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:501-291-5759
Mailing Address - Street 1:650 UNITED DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72032-7826
Mailing Address - Country:US
Mailing Address - Phone:501-291-5759
Mailing Address - Fax:
Practice Address - Street 1:650 UNITED DR
Practice Address - Street 2:SUITE 200
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-7826
Practice Address - Country:US
Practice Address - Phone:501-291-5759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)