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NPI Code Detail

MEDICARE: RICHARD ALEXANDER HALE MHP

MEDICARE: RICHARD ALEXANDER HALE MHP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorP2010094AR
2171M00000XCase Manager/Care Coordinator
3171M00000XCase Manager/Care CoordinatorAR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104340975
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ALEXANDER HALE MHP
Provider Business Mailing Address
First Line : 13 EISENHOWER DR
Second Line :
City : YORK
State : PA
Zip : 17402-2608
Country : US
Telephone Number : 240-439-0983
Fax Number :
Provider Business Practice Location Address
First Line : 106 N PECAN ST
Second Line :
City : BEEBE
State : AR
Zip : 72012-2524
Country : US
Telephone Number : 501-232-2600
Fax Number : 501-242-0820
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2017
Last Update Date : 10/15/2025

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Directions to “ RICHARD ALEXANDER HALE MHP” Practice Location

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