Provider Demographics
NPI:1528128055
Name:ARKANSAS HEALTH CENTER
Entity type:Organization
Organization Name:ARKANSAS HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR ARKANSAS HEALTH CENTER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:II
Authorized Official - Credentials:MHSA NAA
Authorized Official - Phone:501-860-0500
Mailing Address - Street 1:6701 HWY 67
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-8909
Mailing Address - Country:US
Mailing Address - Phone:501-860-0500
Mailing Address - Fax:501-860-0533
Practice Address - Street 1:6701 HWY 67
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-8909
Practice Address - Country:US
Practice Address - Phone:501-860-0500
Practice Address - Fax:501-860-0533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility