Organization
ARKANSAS DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI S WRIGHT BBA (FISCAL SUPPORT SUPERVISOR)
(501) 661-2859
Entity
Organization
Contact information
Practice address
5800 W 10TH ST, SUITE 401, LITTLE ROCK, AR 72204-1752
(501) 280-4951
(501) 280-4999
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
—
146379735
—
AR
Enumeration date
03/26/2007
Last updated
03/25/2013
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