Provider Demographics
NPI:1306996590
Name:MURPHY HEALTHCARE, LLC
Entity type:Organization
Organization Name:MURPHY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SPICER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-598-2291
Mailing Address - Street 1:450 S 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-2501
Mailing Address - Country:US
Mailing Address - Phone:870-598-2291
Mailing Address - Fax:870-598-5771
Practice Address - Street 1:450 S 9TH AVE
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2501
Practice Address - Country:US
Practice Address - Phone:870-598-2291
Practice Address - Fax:870-598-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR704314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1639180466OtherMUSE NPI #
AR1720095599OtherDENNIS BLAKE, M.D. NPI #
AR1841208162OtherDUCKWORTH NPI #
AR1154339752OtherSHERIDAN NPI #
AR1235146846OtherMALLARD NPI #
AR1154339752OtherSHERIDAN NPI #
ARH13948Medicare UPIN
AR1720095599OtherDENNIS BLAKE, M.D. NPI #
ARA11267Medicare UPIN
ARA13412Medicare UPIN
AR1841208162OtherDUCKWORTH NPI #