CB KING UAM CAMPUS (NPI# 1043536063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536063 |
| Entity Type | Organization |
| Organization Name | CB KING UAM CAMPUS |
| Practice Address |
1711 East Ash Street Mcgehee AR 71654 |
| Practice Telephone | 8702226589 |
| Practice Fax Number | 8702223361 |
| Mailing Telephone | 8702226589 |
| Mailing Fax Number | 8702223361 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | SHERRY J GREGORY (OFFICE MANAGER) |
| Authorized Official Telephone | 8702224544 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
01923 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 180540724 | 05 |
| Street Address |
1711 EAST ASH STREET |
| City | MCGEHEE |
| State | AR |
| Zip Code | 71654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790284180 | Sarah Pearce | Nurse Practitioner | 1507 South First Street, Mcgehee, AR 71654 | 2018-02-12 |
| 1740693183 | James A Renfroe IIi | Emergency Medicine | 1507 S 1st St, Mcgehee, AR 71654 | 2014-06-03 |
| 1265687826 | Marylan Deniece Colbert | Case Manager/Care Coordinator | 2410 Hwy 65 South, Mcghee, AR 71654 | 2008-11-24 |
| 1801047782 | Tammy R Johnson | Case Manager/Care Coordinator | 3410 Hwy 65 North, Mcgehee, AR 71654 | 2008-10-09 |
| 1467602631 | Marquetta Michelle Collins | Case Manager/Care Coordinator | 2410 Hwy 65 North, Mcgehee, AR 71654 | 2008-09-24 |
| 1023287802 | C.b. King Memorial School | Day Training, Developmentally Disabled Services | 312 Seamans Dr, Mcgehee, AR 71654 | 2008-02-26 |
| 1700097086 | Jo Anna Rippee | Speech-Language Pathologist | 409 Oak St, Mcgehee, AR 71654 | 2007-05-25 |
| 1043428535 | Carlette Hawkins | Home Health Aide | 901 S. Third, Mcgehee, AR 71654 | 2007-05-18 |
| 1902961592 | Kathy Ann Araquz | Licensed Practical Nurse | 2410 Hwy 65n, Mcgehee, AR 71654 | 2006-12-26 |
| 1770646945 | Mcgehee School District | Local Education Agency (LEA) | 409 Oak Street, Mcgehee, AR 71654 | 2006-12-19 |
| Find all providers in zip 71654 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029694 | Developmental Milestones Adult Day Center | Clinic/Center | 700 N Missouri St, West Memphis, AR 72301-3150 | 2020-06-29 |
| 1891334835 | Abilities Pediatric Pllc | Clinic/Center | 908 Shorecrest Ave, Harrison, AR 72601-1953 | 2019-12-21 |
| 1912494527 | Equestrian Zone | Clinic/Center | 4800 S Frankfort Ave, Russellville, AR 72802-0823 | 2018-04-18 |
| 1174024715 | Lacretia Bruce | Clinic/Center | 12 Fox Run Dr, Little Rock, AR 72210-7133 | 2018-02-27 |
| 1215348552 | Tera Goodman | Clinic/Center | 15 Barber Dr, Hardy, AR 72542-9109 | 2014-05-08 |
| 1790124659 | Kidscorp of Fayetteville, Inc | Clinic/Center | 2210 Main Dr, Springdale, AR 72762-6802 | 2013-06-24 |
| 1710322094 | First Step Arkansas, LLC | Clinic/Center | 6263 Highway 49 South, Paragould, AR 72450 | 2013-05-01 |
| 1508037870 | Kids for The Future Rogers, Inc. | Clinic/Center | 3307 N Dixieland Rd, Rogers, AR 72756-6816 | 2008-03-14 |
| 1306979265 | From The Beginning Chms Clinic | Clinic/Center | 120 Nix Ridge Rd, Ash Flat, AR 72513-9017 | 2007-03-13 |
| 1851458301 | Boone County Independent Living, Inc. | Clinic/Center | 206 S Cherry St Ste D, Harrison, AR 72601-5044 | 2007-01-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.