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Organization

QUAPAW HOUSE

Active
Parent organization
QUAPAW HOUSE, INC.
Other names
Quapaw House
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUAPAW HOUSE, INC.
Authorized official
MRS. ANGELA RENEE MOSER (BILLING/ CLAIMS SPEC.)
(501) 204-8186
Entity
Organization

Contact information

Practice address
615 W GRAND AVE, HOT SPRINGS, AR 71901-3927
(501) 609-0400
Mailing address
505 W GRAND AVE, HOT SPRINGS, AR 71901-3931
(501) 623-3700

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5G217
BCBS
AR
Enumeration date
12/05/2019
Last updated
01/20/2020
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