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NPI Code Detail

MEDICARE: BHC PINNACLE POINTE HOSPITAL, INC.

MEDICARE: BHC PINNACLE POINTE HOSPITAL, INC.
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
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center

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 : 1255603973
Entity Type Code : Organization
Provider Name (Legal Business Name) : BHC PINNACLE POINTE HOSPITAL, INC.
Provider Business Mailing Address
First Line : 2110 HIGDON FERRY RD STE D
Second Line :
City : HOT SPRINGS
State : AR
Zip : 71913-7288
Country : US
Telephone Number : 501-262-2766
Fax Number : 501-262-2544
Provider Business Practice Location Address
First Line : 403 S POPLAR ST STE F
Second Line :
City : SEARCY
State : AR
Zip : 72143-6000
Country : US
Telephone Number : 501-279-9220
Fax Number : 501-279-9450
Authorized Official
Title or Position : CEO
Name : SHANE FRAZIER
Credential :
Telephone Number : 501-223-3322
Provider Enumeration Date : 01/27/2012
Last Update Date : 05/31/2022

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Directions to “BHC PINNACLE POINTE HOSPITAL, INC. ” Practice Location

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