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1336271659

NPI Code Detail

MEDICARE: ASCENT ACQUISITIONS CORP-PSC

MEDICARE: ASCENT ACQUISITIONS CORP-PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	103TB0200X	Cognitive & Behavioral Psychologist
3	103TC2200X	Clinical Child & Adolescent Psychologist
4	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	5C082	OTHER	AR	BCBS

General Provider Information

NPI Number	:	1336271659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCENT ACQUISITIONS CORP-PSC

Provider Business Mailing Address
First Line	:	3012 TURMAN DR
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72404-8998
Country	:	US
Telephone Number	:	870-819-0200
Fax Number	:	870-819-0217

Provider Business Practice Location Address
First Line	:	4107 RICHARDS RD
Second Line	:
City	:	NORTH LITTLE ROCK
State	:	AR
Zip	:	72117-2653
Country	:	US
Telephone Number	:	501-955-2220
Fax Number	:	501-955-5531

Authorized Official
Title or Position	:	BILLING SPECIALIST
Name	:	HOLLY ALLGOOD
Credential	:
Telephone Number	:	870-819-0232

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	04/11/2012

Similar Medicare Providers

1457402893 — MS. KIMBERLY ANN NEWTON LPE-I
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax: 501-955-5531

1982756326 — MRS. ALLISON F CALLAHAN MS
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax:

1255483541 — SARAH G KING PT
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax: 501-955-5531

1316093016 — MS. AMIE KRISTEN ALMOND LCSW
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax:

1518006717 — MRS. KATHERINE MARIE THORNSBERRY R.N.
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax:

1073653804 — MS. SHANNON LEE ELLIOTT LPN
Practice Location Address:

4107 RICHARDS RD
NORTH LITTLE ROCK, AR
72117-2653

Practice Phone: 501-955-2220
Practice Fax: 501-955-5531

Directions to “ASCENT ACQUISITIONS CORP-PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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