COURTNEY BICKERSTAFF APN,PLLC


Address: 1309 Ashlea Place Dr, Bryant, AR 72022-9159
Phone: 5019091153

COURTNEY BICKERSTAFF APN,PLLC (NPI# 1295071322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295071322
Entity Type Organization
Organization Name COURTNEY BICKERSTAFF APN,PLLC
Practice Address 1309 Ashlea Place Dr
Bryant
AR 72022-9159
Practice Telephone 5019091153
Mailing Telephone 5019091153
Enumeration Date 2012-12-18
Last Update Date 2012-12-18
Authorized Official Name COURTNEY CAMILLE BICKERSTAFF (APN)
Authorized Official Telephone 5019091153
Authorized Official Credential APN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 313M00000X Nursing Facility/Intermediate Care Facility A03082 AR Nursing & Custodial Care Facilities

Office Location

Street Address 1309 ASHLEA PLACE DR
City BRYANT
State AR
Zip Code 72022-9159

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Taxonomy Information

Taxonomy Code 313M00000X
Grouping Nursing & Custodial Care Facilities
Classification Nursing Facility/Intermediate Care Facility

Taxonomy Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act.

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1992014930 Jane Ellen Phillips Apn Pllc Nursing Facility/Intermediate Care Facility 511 Farr Shores Dr, Hot Springs, AR 71913-9622 2010-09-24
1639480049 Smith Drug Company Nursing Facility/Intermediate Care Facility 1104 Jones Rd, Paragould, AR 72450-7579 2010-06-30
1760627640 Cavhs Nursing Facility/Intermediate Care Facility 2220 Ft Roots Drive, North Little Rock, AR 72114-1706 2008-12-08
1023283884 A & C Fairways and Greenns Inc. Nursing Facility/Intermediate Care Facility 106 No. Third St., Marmaduke, AR 72443 2008-04-23
1568680742 David E. Puryear Center Nursing Facility/Intermediate Care Facility 2806 Fox Meadow Ln, Jonesboro, AR 72404-9346 2007-04-23
1275673642 Countryside Manor LLC Nursing Facility/Intermediate Care Facility 300 S Thompson Rd, Lamar, AR 72846-9423 2007-02-07
1760520936 Greenhurst, Inc. Nursing Facility/Intermediate Care Facility 226 Skyler Dr, Pob 458, Charleston, AR 72933-9337 2007-02-01
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Competitor

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City BRYANT
Zip Code 72022

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Dataset Information

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.

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