# SELAH HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720734247
- **Authorized official:** AMANDA GAIL SMALLMON APRN (CEO)
- **Authorized official phone:** (870) 970-3180

## Contact information

- **Practice address:** 180 S THORNTON AVE, PIGGOTT, AR 72454-2731
- **Practice address phone:** (870) 970-3180
- **Practice address fax:** (870) 343-6262
- **Mailing address:** PO BOX 301, PIGGOTT, AR 72454-0301
- **Mailing address phone:** (870) 970-3180
- **Mailing address fax:** (870) 201-9686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 163WW0000X | Wound Care Registered Nurse | — | NULL | — |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 05/11/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447481072 | AMANDA SMALLMON'S NPI \# | — |
| 01 | — | 1518246438 | TAMMY TRIPP, LSCW, NPI\# | — |
| 05 | — | 291504758 | — | AR |