Healthcare Provider Details

I. General information

NPI: 1528128055
Provider Name (Legal Business Name): ARKANSAS HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 HWY 67
BENTON AR
72015-8909
US

IV. Provider business mailing address

6701 HWY 67
BENTON AR
72015-8909
US

V. Phone/Fax

Practice location:
  • Phone: 501-860-0500
  • Fax: 501-860-0533
Mailing address:
  • Phone: 501-860-0500
  • Fax: 501-860-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. WILLIAM EDWIN HOOD II
Title or Position: DIRECTOR ARKANSAS HEALTH CENTER
Credential: MHSA NAA
Phone: 501-860-0500