Healthcare Provider Details

I. General information

NPI: 1386617934
Provider Name (Legal Business Name): NATIONAL HEALTHCARE OF NEWPORT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 05/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 MCLAIN ST
NEWPORT AR
72112-3533
US

IV. Provider business mailing address

PO BOX 844790
DALLAS TX
75284-4790
US

V. Phone/Fax

Practice location:
  • Phone: 870-523-8911
  • Fax: 870-523-0225
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number698
License Number StateAR

VIII. Authorized Official

Name: LAURIE HOLTSFORD
Title or Position: DIRECTOR, BUSINESS OFFICE SUPPORT
Credential:
Phone: 615-465-7400