Healthcare Provider Details

I. General information

NPI: 1508953449
Provider Name (Legal Business Name): NEWTON COUNTY HEALTHCARE ASSOCIATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 EAST COURT
JASPER AR
72641-0442
US

IV. Provider business mailing address

PO BOX 442 610 EAST COURT ST
JASPER AR
72641-0442
US

V. Phone/Fax

Practice location:
  • Phone: 870-446-2333
  • Fax: 870-446-5133
Mailing address:
  • Phone: 870-446-2333
  • Fax: 870-446-5133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number645
License Number StateAR

VIII. Authorized Official

Name: MRS. LISA DUNCAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-446-2333