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NPI 1245688050 · live from the CMS NPI Registry

Hospice Of Southern Arkansas

Hospice Care, Community Based in Helena, AR. National Provider Identifier 1245688050, active.

NPI record

NPI1245688050 Type 2 · organization
StatusActive
Primary specialtyHospice Care, Community Based 251G00000X
Practice location640 Oakland Avenue, Helena, AR 72342
Practice phone870-753-4200
Mailing address5314 S Yale Ave, Ste 420, Tulsa, OK 74135
EnumeratedJune 2, 2016
Last updatedJune 2, 2016
Authorized officialChris Lackner, Delegated Official

Taxonomies and licenses

TaxonomyCodeLicense
Hospice Care, Community Based primary251G00000XAR5167 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.