Black River Area Development Corp. Senior Citizens Program

LBN: Black River Area Development Corp. Senior Citizens Program
Black River Area Development Corp. Senior Citizens Program is an health care organization with primary practice located at 1403 Hospital Dr , Pocahontas AR 72455-3847. The organization recently has only one registered license in Suppliers / Home Delivered Meals, which is considered as the primary health care specialty. Black River Area Development Corp. Senior Citizens Program can be contacted via phone (870) 892-4547, or through Jansen, Jim via phone (870) 892-4547.

Contact Information

Primary practice address
1403 Hospital Dr Pocahontas AR 72455-3847
Phone: (870) 892-4547
Fax: (870) 892-0707
Website:
Map and Directions
Authorized official contact:
Name: Jansen, Jim
Phone: (870) 892-4547

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1306011200
LBN Legal business name Black River Area Development Corp. Senior Citizens Program
DBA Doing business as
Authorized official Jansen, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Apr 23rd, 2008 - about 17 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 1306011200 NPPES
Arkansas MEDICAID 120546753

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