Healthcare Provider Details
I. General information
NPI: 1801857594
Provider Name (Legal Business Name): ARCARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2006
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2802 HIGHWAY 367 N
BALD KNOB AR
72010-3165
US
IV. Provider business mailing address
PO BOX 497
AUGUSTA AR
72006-0497
US
V. Phone/Fax
- Phone: 870-347-2534
- Fax: 870-347-3492
- Phone: 870-347-2534
- Fax: 870-347-3492
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
STEVEN
COLLIER
Title or Position: CEO
Credential:
Phone: 870-347-2534