Healthcare Provider Details

I. General information

NPI: 1730038522
Provider Name (Legal Business Name): TELECARE EXPRESS OF ARKANSAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2026
Last Update Date: 01/24/2026
Certification Date: 01/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 SOUTH ST STE 100
MOUNTAIN HOME AR
72653-4452
US

IV. Provider business mailing address

701 SOUTH ST STE 100
MOUNTAIN HOME AR
72653-4452
US

V. Phone/Fax

Practice location:
  • Phone: 501-813-0879
  • Fax: 501-300-1871
Mailing address:
  • Phone: 501-813-0879
  • Fax: 501-300-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERTA HENRY
Title or Position: CEO
Credential: APRN
Phone: 501-813-0879