Provider Demographics
NPI:1063711901
Name:ARKANSAS COMPLETE CARE
Entity type:Organization
Organization Name:ARKANSAS COMPLETE CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELL-HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:501-525-2770
Mailing Address - Street 1:190 AVIATION PLZ STE D
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-5531
Mailing Address - Country:US
Mailing Address - Phone:501-252-7705
Mailing Address - Fax:501-232-2000
Practice Address - Street 1:190 AVIATION PLZ STE A-C
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-5529
Practice Address - Country:US
Practice Address - Phone:501-525-2770
Practice Address - Fax:501-781-2234
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARKANSAS COMPLETE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-17
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR204896742Medicaid
AR204896742Medicaid