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NPI Code Detail

MEDICARE: DEPARTMENT OF HEALTH AND HUMAN SERVICES

MEDICARE: DEPARTMENT OF HEALTH AND HUMAN SERVICES
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
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1639294085
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HEALTH AND HUMAN SERVICES
Provider Business Mailing Address
First Line : PO BOX 1437
Second Line : SLOT H-40
City : LITTLE ROCK
State : AR
Zip : 72203-1437
Country : US
Telephone Number : 501-661-2859
Fax Number : 501-661-2691
Provider Business Practice Location Address
First Line : 27 W TOWNSHIP ST
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-2821
Country : US
Telephone Number : 479-675-2593
Fax Number : 479-675-5852
Authorized Official
Title or Position : AGENCY PROGRAM COORDINATOR
Name : TERRI S WRIGHT
Credential : BBA
Telephone Number : 501-661-2859
Provider Enumeration Date : 03/21/2007
Last Update Date : 08/22/2020

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Directions to “DEPARTMENT OF HEALTH AND HUMAN SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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