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Organization

DEPARTMENT OF HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRI S WRIGHT BBA (AGENCY PROGRAM COORDINATOR)
(501) 661-2859
Entity
Organization

Contact information

Practice address
1501 DAWSON ROAD, FORREST CITY, AR 72236
(501) 661-2269
(501) 661-2855
Mailing address
4815 W MARKHAM ST, SLOT 40, LITTLE ROCK, AR 72205-3866
(501) 661-2859
(501) 661-2691

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146398730
AR
Enumeration date
03/28/2007
Last updated
07/02/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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