Arkansas Department Of Health Hospice 3

LBN: State Of Arkansas
Arkansas Department Of Health Hospice 3 is an health care organization with primary practice located at 404 El Paso Northwest Regional Office, Russellville AR 72801-8737. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. State Of Arkansas can be contacted via phone (501) 661-2698, or through Lanum, Gayla Evette via phone (501) 661-2698.

Contact Information

Primary practice address
404 El Paso Northwest Regional Office Russellville AR 72801-8737
Phone: (501) 661-2698
Fax: (501) 280-4626
Website:
Map and Directions
Authorized official contact:
Name: Lanum, Gayla Evette R.N. BSN
Phone: (501) 661-2698

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X AR3629 Arkansas

Profile Details

NPI number 1720017833
LBN Legal business name State Of Arkansas
DBA Doing business as Arkansas Department Of Health Hospice 3
Authorized official Lanum, Gayla Evette R.N. BSN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Oct 9th, 2012 - about 13 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 1720017833 NPPES
Arkansas Other AR3629 AR STATE HOSPICE LICENSE
Arkansas MEDICAID 123489747 AR STATE HOSPICE LICENSE

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