CONWAY COUNTY COMMUNITY SERVICE INC. (NPI# 1255994158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255994158 |
| Entity Type | Organization |
| Organization Name | CONWAY COUNTY COMMUNITY SERVICE INC. |
| Practice Address |
200 S Peabody Ave Mountain View AR 72560-6311 |
| Mailing Address |
Po Box 679 Morrilton AR 72110-0679 |
| Practice Telephone | 8702696635 |
| Mailing Telephone | 5013544589 |
| Mailing Fax Number | 5013545410 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |
| Authorized Official Name | ANGELA LYNN WHEAT (PA CLERK) |
| Authorized Official Telephone | 5013544589 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Mountain View | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1013142355 | Conway County Community Service Inc. | Community/Behavioral Health | 203 N 4th St, Ozark, AR 72949-2701 | 2009-05-15 |
| 1699909911 | Conway County Community Service Inc. | Community/Behavioral Health | 816 N Creek Dr, Conway, AR 72032-4711 | 2009-05-14 |
| 1871727198 | Conway County Community Service Inc. | Community/Behavioral Health | 1415 S Oswego Ave, Russellville, AR 72802-2646 | 2009-05-14 |
| 1770631467 | Conway County Community Service Inc. | Community/Behavioral Health | 100 S Cherokee St., Morrilton, AR 72110 | 2007-01-08 |
| 1851903157 | Conway County Community Service Inc. | Community/Behavioral Health | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2020-08-18 |
| 1184287088 | Conway County Community Service Inc. | Community/Behavioral Health | 115 W Clinton St, Heber Springs, AR 72543-3135 | 2019-04-16 |
| 1053546176 | Conway County Community Service Inc. | Community/Behavioral Health | 818 N Creek Dr, Conway, AR 72032-4711 | 2009-05-19 |
| 1316172430 | Conway County Community Service Inc. | Community/Behavioral Health | 730 Boston St, Danville, AR 72833 | 2009-05-19 |
| 1134354400 | Conway County Community Service Inc. | Community/Behavioral Health | 1505 S Oswego Ave, Russellville, AR 72802-2673 | 2009-05-15 |
| Street Address |
200 S PEABODY AVE |
| City | MOUNTAIN VIEW |
| State | AR |
| Zip Code | 72560-6311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979781 | Creoks Mental Health Services, Inc | Clinic/Center | 301 Industrial Road, Mountain View, AR 72560 | 2020-07-14 |
| 1194377861 | John Randolph Crone II | Physical Therapist | 103 Mountain Place Drive, Mountain View, AR 72560 | 2019-07-12 |
| 1154898161 | Candace Casey Lane | Physical Therapy Assistant | 260 Hickory Circle, Mountain View, AR 72560 | 2018-10-29 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| 1861928038 | Jason Nope | Registered Nurse | 217 Brewer Avenue, Mountain View, AR 72560 | 2017-05-10 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1912365982 | Baxter Regional Health System | Family Medicine | 102 Mountain Place Drive, Suite C, Mountain View, AR 72560 | 2016-02-05 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1447503941 | Mitchell's Main Street Pharmacy, Inc | Pharmacy | 214 East Main St, Mountain View, AR 72560 | 2012-10-22 |
| Find all providers in zip 72560 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303841 | Advent Group Ministries | Community/Behavioral Health | 1325 Bryant Ave, Mountain View, CA 94040-4580 | 2018-07-25 |
| 1154816601 | El Camino Hospital | Community/Behavioral Health | 2660 Grant Rd Ste D, Mountain View, CA 94040-4308 | 2018-06-27 |
| 1851803712 | Children's Health Council | Community/Behavioral Health | 1175 Castro St, Mountain View, CA 94040-2505 | 2017-11-01 |
| 1306358296 | Children's Health Council | Community/Behavioral Health | 1701 Rock St, Mountain View, CA 94043-1810 | 2017-10-31 |
| 1831550276 | Uplift Family Services | Community/Behavioral Health | 505 Escuela Ave, Mountain View, CA 94040-2006 | 2016-03-13 |
| 1013378454 | Uplift Family Services | Community/Behavioral Health | 1625 San Luis Ave, Mountain View, CA 94043-3147 | 2016-03-13 |
| 1487054102 | Alternative Oppurtunities | Community/Behavioral Health | 106 Mountain Place Dr, Mountain View, AR 72560-2381 | 2014-08-29 |
| 1043571730 | Hope Services | Community/Behavioral Health | 460 E Middlefield Rd, Mountain View, CA 94043-4037 | 2012-05-30 |
| 1598809071 | Community Health Awareness Council | Community/Behavioral Health | 1299 Bryant Ave, Alta Vista High School, Mountain View, CA 94040-4527 | 2007-02-16 |
| 1396257259 | Children's Health Council | Community/Behavioral Health | 1625 San Luis Ave, Mountain View, CA 94043-3147 | 2017-11-01 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 72560 |
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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.