SHARE FOUNDATION (NPI# 1568873586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568873586 |
Entity Type | Organization |
Organization Name | SHARE FOUNDATION |
Other Organization Name | INTERFAITH CLINIC |
Practice Address |
403 W Oak St Suite 200 El Dorado AR 71730 |
Mailing Address |
403 W Oak St Suite 100 El Dorado AR 71730 |
Practice Telephone | 8708648010 |
Practice Fax Number | 8708751897 |
Mailing Telephone | 8708648010 |
Mailing Fax Number | 8708751897 |
Enumeration Date | 2014-05-13 |
Last Update Date | 2018-01-02 |
Authorized Official Name | BRIAN JONES (PRESIDENT/CEO) |
Authorized Official Telephone | 8708819015 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Interfaith Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558909192 | Share Foundation | Internal Medicine | 2301 Champagnolle Rd, El Dorado, AR 71730-4816 | 2019-12-13 |
1174522841 | Share Foundation | Hospice, Inpatient | 2301 Champagnolle Road, El Dorado, AR 71730-4816 | 2005-07-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Share foundation corp | 7887 Dutch Loop, Colorado Springs, CO 80925 |
Virginia Business Entities | Share Foundation Inc. | 13800 Coppermine Rd Ste 106, Herndon, Virginia 20171 |
Indiana Business Entities | SHARE FOUNDATION, INC. | P. O. Box 400, Rolling Prairie, IN 46371-0400 |
Street Address |
403 W OAK ST SUITE 200 |
City | EL DORADO |
State | AR |
Zip Code | 71730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871580704 | Richard Edward Dietzen | Specialist | 403 W Oak St, Suite 302, El Dorado, AR 71730-4586 | 2005-10-05 |
1376908780 | Lab One LLC | Clinical Medical Laboratory | 403 W Oak St, Ste 305b, El Dorado, AR 71730-4575 | 2015-12-30 |
1902205636 | Kerry Murphree | Nurse Practitioner | 403 W Oak St, Suite 200, El Dorado, AR 71730-4586 | 2014-08-19 |
1447583885 | Kris Bryan | Nurse Practitioner | 403 W Oak St, Suite 200, El Dorado, AR 71730-4586 | 2009-09-17 |
1366621252 | Dr. Henry L. Gomez | Pediatrics | 403 W Oak St, Suite 305, El Dorado, AR 71730-4586 | 2007-10-29 |
1174738397 | Richard E. Dietzen, M.d.,p.a. | Clinic/Center | 403 W Oak St, Suite 302, El Dorado, AR 71730-4586 | 2007-05-11 |
1174613962 | Angela Norman | Nurse Practitioner | 403 W Oak St, Suite 200, El Dorado, AR 71730-4586 | 2006-10-13 |
1518994250 | Henry L Gomez | Pediatrics | 403 W Oak St, Suite 305, El Dorado, AR 71730-4586 | 2006-06-27 |
1306882790 | South Arkansas Diagnostic Clinic | Internal Medicine | 403 W Oak St, Suite 303, El Dorado, AR 71730 | 2006-06-22 |
1013973452 | Allan Pirnique | Family Medicine | 403 W Oak St, El Dorado, AR 71730-4586 | 2006-04-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043856172 | Mental Health Counseling for Individuals and Couples | Clinic/Center | 3256 West Hillsboro Suite C, El Dorado, AR 71730 | 2019-11-25 |
1114578168 | Candance Marie Guinn | Nurse Practitioner | 1906 W Hillsboro St Ste B, El Dorado, AR 71730 | 2019-09-20 |
1811460462 | Kelsie Rogers | Pharmacist | 2202 N West Ave, El Dorado, El Dorado, AR 71730 | 2019-01-07 |
1861925331 | Kasey Leigh Mcclain | Nurse Practitioner | 2280 E Main St, El Dorado, AR 71730 | 2017-04-11 |
1366989568 | Shane Morr | Marriage & Family Therapist | 704 W 5th Dr, El Dorado, AR 71730 | 2017-01-25 |
1376986539 | Ivory A. Kinslow, Mdpa | Optometrist | 443 W Oak St, El Dorado, AR 71730 | 2013-04-08 |
1134485170 | Drs Weddle and Baumsardner | Dentist | 106 West Main St. 212, El Dorado, AR 71730 | 2012-04-04 |
1972888923 | Lenora S Newsome | Pharmacist | 2135 North West Ave, El Dorado, AR 71730 | 2011-10-20 |
1730460338 | South Arkansas Pharmacy, Inc | Pharmacy | 600 South Timberlane #101, El Dorado, AR 71730 | 2011-09-09 |
1710273891 | Ezinne Charity Nwude | Emergency Medicine | 701 N. West Avenue, El Dorado, AR 71730 | 2011-06-27 |
Find all providers in zip 71730 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477119105 | Access Medical Clinic Arkansas LLC | Clinic/Center | 2280 E Main St, El Dorado, AR 71730 | 2019-05-17 |
1366745705 | Jerry H Grant, M.d., P.a. | Clinic/Center | 104 E Grove St, El Dorado, AR 71730 | 2010-12-07 |
1982844114 | Cardiology Care of South Arkansas, Inc | Clinic/Center | 704 S Timberlane Dr, Suite 12, El Dorado, AR 71730-6929 | 2009-02-27 |
1023229846 | South Arkansas Caring Pregnancy Center | Clinic/Center | 101 W Main St, Suite 201, El Dorado, AR 71730-5602 | 2007-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578176020 | Neaville Internal Medicine Pllc | Clinic/Center | 3000 Jennings Ln Ste H, Batesville, AR 72501-7255 | 2020-08-25 |
1508488255 | Skinner Family Dentistry | Clinic/Center | 312 E Kiehl Ave, Sherwood, AR 72120-2922 | 2020-05-15 |
1629602008 | Rose Counseling and Consulting Pllc | Clinic/Center | 204 Executive Ct Ste 101, Little Rock, AR 72205-4542 | 2020-02-25 |
1003450230 | Raising The Standards of Care LLC | Clinic/Center | 361 Southwest Dr Ste 771, Jonesboro, AR 72401-5854 | 2019-10-31 |
1497397897 | Way To Grow LLC | Clinic/Center | 307 Rockwell St, Hot Springs, AR 71913-6013 | 2019-10-17 |
1144876418 | Arkmed Healthcare Associates, Pllc | Clinic/Center | 3906 Lakeview Rd, North Little Rock, AR 72116-7305 | 2019-08-13 |
1508411422 | Sbs Investments LLC | Clinic/Center | 3114 Fox Rd Ste D, Jonesboro, AR 72404-9577 | 2019-08-07 |
1093368623 | Taylored Therapies, Pllc | Clinic/Center | 1004 Beau Terre Dr Ste 507, Bentonville, AR 72712-6799 | 2019-07-23 |
1811553555 | Diet of A Lifetime, LLC | Clinic/Center | 123 S Pine St, Pine Bluff, AR 71601-4222 | 2019-05-17 |
1043777436 | Amethyst Chiropractic | Clinic/Center | 1100 Mallard Pl Ste A, Bentonville, AR 72712-6850 | 2019-02-21 |
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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.