Organization
ARKANSAS METHODIST HOSPITAL CORPORATION
Active
Other names
AMMC HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
KAY H SCOTT (DIRECTOR REVENUE OPERATIONS)
(870) 239-7126
Entity
Organization
Contact information
Practice address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7152
Mailing address
900 W KINGSHIGHWAY, PARAGOULD, AR 72450-5942
(870) 239-7152
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4057
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102531514
—
AR
05
—
133775732
—
AR
05
—
134358752
—
AR
05
—
134586765
—
AR
05
—
134872754
—
AR
01
—
17004
BLUE CROSS
AR
Enumeration date
11/08/2006
Last updated
07/16/2021
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