Provider Demographics
NPI:1801664925
Name:ARKANSAS COMPLETE CARE
Entity type:Organization
Organization Name:ARKANSAS COMPLETE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:ESTELLE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:501-525-2770
Mailing Address - Street 1:190 AVIATION PLZ STE D
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-5531
Mailing Address - Country:US
Mailing Address - Phone:501-525-2770
Mailing Address - Fax:
Practice Address - Street 1:190 AVIATION PLZ STE D
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-5531
Practice Address - Country:US
Practice Address - Phone:501-525-2770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARKANSAS COMPLETE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-18
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service