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1801087895 NPI number — THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS

NPI Number: 1801087895
Health Care Provider/Practitioner: THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS

Information about “1801087895” NPI (THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS) exists in 1801087895 in HTML format HTML  |  1801087895 in plain Text format TXT  |  1801087895 in PDF (Portable Document Format) PDF  |  1801087895 in an XML format XML  formats.

NPI Number : 1801087895 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801087895",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "504 TEXAS ST",
    "SecondLineMailingAddress": "SUITE 200",
    "MailingAddressCityName": "SHREVEPORT",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71101-3524",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-226-8202",
    "MailingAddressFaxNumber": "318-226-8205",
    "FirstLinePracticeLocationAddress": "2801 MEDICAL CENTER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "POCAHONTAS",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72455-9436",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-226-8202",
    "PracticeLocationAddressFaxNumber": "318-226-8205",
    "EnumerationDate": "08/06/2007",
    "LastUpdateDate": "10/31/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BORDELON",
    "AuthorizedOfficialFirstName": "ROCK",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "318-226-8202",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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