Healthcare Provider Details

I. General information

NPI: 1316990708
Provider Name (Legal Business Name): NPMC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 CENTRAL AVE SUITE E
HOT SPRINGS AR
71913-6403
US

IV. Provider business mailing address

3604 CENTRAL AVE SUITE E
HOT SPRINGS AR
71913-6403
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-1402
  • Fax: 501-321-3548
Mailing address:
  • Phone: 501-321-1402
  • Fax: 501-321-3548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number4312
License Number StateAR

VIII. Authorized Official

Name: LAURIE HOLTSFORD
Title or Position: DIRECTOR, BUSINESS OFFICE SERVICES
Credential:
Phone: 615-465-7466