Organization
PRAIRIE GROVE HEALTH AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANDREW RYE (VICE PRESIDENT)
(479) 410-1740
Entity
Organization
Contact information
Practice address
621 S MOCK ST, PRAIRIE GROVE, AR 72753-3146
(479) 846-2169
Mailing address
8520 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 410-1740
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
853
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166574311
—
AR
Enumeration date
02/29/2008
Last updated
03/13/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us