Great River Residential Academy

LBN: Ameris Of Arkansas, Llc
Great River Residential Academy is an health care organization with primary practice located at 611 W Lee Ave , Osceola AR 72370-3001. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Ameris Of Arkansas, Llc can be contacted via phone (870) 563-7000, or through Ramsay, Luther via phone (615) 327-4440.

Contact Information

Primary practice address
611 W Lee Ave Osceola AR 72370-3001
Phone: (870) 563-7000
Fax: (870) 838-7493
Website:
Map and Directions
Authorized official contact:
Name: Ramsay, Luther
Phone: (615) 327-4440

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 20102 Arkansas

Profile Details

NPI number 1104033976
LBN Legal business name Ameris Of Arkansas, Llc
DBA Doing business as Great River Residential Academy
Authorized official Ramsay, Luther
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104033976 NPPES
Arkansas MEDICAID BEING APPLIED FOR

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