Dierks Health & Rehab Center

LBN: Banyan Healthcare Services, Llc
Dierks Health & Rehab Center is an health care organization with primary practice located at 402 S. Arkansas Ave , Dierks AR 71833. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Banyan Healthcare Services, Llc can be contacted via phone (870) 286-3100, or through Luth, Kurt Lee via phone (501) 833-5627.

Contact Information

Primary practice address
402 S. Arkansas Ave Dierks AR 71833
Phone: (870) 286-3100
Fax: (870) 286-3030
Website:
Map and Directions
Authorized official contact:
Name: Luth, Kurt Lee
Phone: (501) 833-5627

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 769 Arkansas

Profile Details

NPI number 1760458814
LBN Legal business name Banyan Healthcare Services, Llc
DBA Doing business as Dierks Health & Rehab Center
Authorized official Luth, Kurt Lee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 9th, 2014 - about 11 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 1760458814 NPPES
Arkansas MEDICAID 155080311

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