Provider Demographics
NPI:1417388539
Name:EXCEL HEALTH INC
Entity type:Organization
Organization Name:EXCEL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-847-3292
Mailing Address - Street 1:3121 N REYNOLDS RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72022-9191
Mailing Address - Country:US
Mailing Address - Phone:501-847-3292
Mailing Address - Fax:501-213-0573
Practice Address - Street 1:3121 N REYNOLDS RD
Practice Address - Street 2:SUITE 4
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9191
Practice Address - Country:US
Practice Address - Phone:501-847-3292
Practice Address - Fax:501-213-0573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-30
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE4676208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty