# NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
- **Other names:** Mid-South Health Systems Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043885759
- **Legal business name:** NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC
- **Authorized official:** CARLA PRATT (BUSINESS MANAGER)
- **Authorized official phone:** (870) 972-4016

## Contact information

- **Practice address:** 209 S LOCKARD ST, BLYTHEVILLE, AR 72315-2541
- **Practice address phone:** (870) 763-2139
- **Mailing address:** 2707 BROWNS LN, JONESBORO, AR 72401-7213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2021
- **Last updated:** 04/22/2022