Healthcare Provider Details

I. General information

NPI: 1366477911
Provider Name (Legal Business Name): BHC PINNACLE POINTE HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 10/04/2021
Certification Date: 10/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 E OAK ST STE 1
CONWAY AR
72032
US

IV. Provider business mailing address

2110 HIGDON FERRY RD STE D
HOT SPRINGS AR
71913-7288
US

V. Phone/Fax

Practice location:
  • Phone: 501-336-0511
  • Fax: 501-336-4037
Mailing address:
  • Phone: 501-262-2766
  • Fax: 501-262-2544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberAR4343
License Number StateAR

VIII. Authorized Official

Name: SHANE FRAZIER
Title or Position: CEO
Credential:
Phone: 501-223-3322