Healthcare Provider Details

I. General information

NPI: 1457597999
Provider Name (Legal Business Name): HEALTH RESOURCES OF ARKANSAS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2617 HIGHWAY 5 N
MOUNTAIN HOME AR
72653
US

IV. Provider business mailing address

25 GAP RD
BATESVILLE AR
72501-8679
US

V. Phone/Fax

Practice location:
  • Phone: 870-425-5395
  • Fax: 870-425-5132
Mailing address:
  • Phone: 870-793-8900
  • Fax: 870-793-8959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. BERNIS MEDLOCK
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 870-793-8900