Healthcare Provider Details

I. General information

NPI: 1093404949
Provider Name (Legal Business Name): RACHEL BARTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 N 1ST ST STE C
GLENWOOD AR
71943-9252
US

IV. Provider business mailing address

408 N 1ST ST STE C
GLENWOOD AR
71943-9252
US

V. Phone/Fax

Practice location:
  • Phone: 870-356-7404
  • Fax: 870-828-2020
Mailing address:
  • Phone: 870-356-7404
  • Fax: 870-828-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: