MEDICARE: MRS. SAMANTHA BARNES QBHP

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	171M00000X	Case Manager/Care Coordinator		AR

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

General Provider Information

NPI Number	:	1639835085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SAMANTHA BARNES QBHP

Provider Business Mailing Address
First Line	:	250 ARCHER AVE
Second Line	:
City	:	MAMMOTH SPRING
State	:	AR
Zip	:	72554-8020
Country	:	US
Telephone Number	:	870-907-0848
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 ARCHER AVE
Second Line	:
City	:	MAMMOTH SPRING
State	:	AR
Zip	:	72554-8020
Country	:	US
Telephone Number	:	870-907-0848
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	10/24/2025

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