UHS OF BENTON, INC. (NPI# 1740456060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740456060 |
Entity Type | Organization |
Organization Name | UHS OF BENTON, INC. |
Other Organization Name | RIVENDELL BEHAVIORAL HEALTH SERVICES OF AR |
Practice Address |
750 Bridges Ave E Ste A Wynne AR 72396-2343 |
Practice Telephone | 5013161255 |
Practice Fax Number | 5013160908 |
Mailing Telephone | 5013161255 |
Mailing Fax Number | 5013160908 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |
Authorized Official Name | MR. SCOTT WILLIAMS (CEO) |
Authorized Official Telephone | 5013161255 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 167275526 | 05 |
Other Name | Type Code |
---|---|
Rivendell Behavioral Health Services of AR | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902072234 | Uhs of Benton, Inc. | Clinic/Center | 120 S Main Ave, Brinkley, AR 72021-3208 | 2008-05-06 |
1386810604 | Uhs of Benton, Inc. | Clinic/Center | 278 S Florida St, Marianna, AR 72360-2741 | 2008-05-06 |
1578739892 | Uhs of Benton, Inc. | Clinic/Center | 403 S Poplar St Ste A, Searcy, AR 72143-6000 | 2008-05-06 |
1013087261 | Uhs of Benton, Inc. | Clinic/Center | 2400 W 4th St, Fordyce, AR 71742-1700 | 2006-11-08 |
1881764975 | Uhs of Benton, Inc. | Clinic/Center | 225 Mcauley Court, Suite B, Hot Springs, AR 71913 | 2006-11-08 |
1649446964 | Uhs of Benton, Inc. | Clinic/Center | 422 N Sebastian, West Helena, AR 72390-1935 | 2008-05-06 |
1144394834 | Uhs of Benton, Inc. | Clinic/Center | 1405 N Pierce St, Suite 101, Little Rock, AR 72207-5349 | 2006-11-17 |
1407926637 | Uhs of Benton, Inc. | Clinic/Center | 210 Manor St, Marion, AR 72364-1936 | 2006-11-08 |
1649340860 | Uhs of Benton, Inc. | Clinic/Center | 203b Westport Dr, Cabot, AR 72023-3657 | 2006-11-08 |
1457421687 | Uhs of Benton, Inc. | Clinic/Center | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2006-11-08 |
Street Address |
750 BRIDGES AVE E STE A |
City | WYNNE |
State | AR |
Zip Code | 72396-2343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255507836 | Counseling Consultants | Clinic/Center | 750 Bridges Ave E Ste A, Wynne, AR 72396-2343 | 2008-05-05 |
1144794827 | Elizabeth Ramsey | Registered Nurse | 750 Bridges Ave E Ste A, Wynne, AR 72396-2343 | 2019-01-16 |
1073041422 | Courtney D. Hall | Occupational Therapist | 750 Bridges Ave E Ste A, Wynne, AR 72396-2343 | 2017-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962918813 | David Makool | Occupational Therapy Assistant | 2000 Gogbill Road, Wynne, AR 72396 | 2017-12-14 |
1912425554 | Barbara Ann Burgess | Case Manager/Care Coordinator | 661 Addison, Wynne, AR 72396 | 2017-09-05 |
1518481308 | Tyler Leigh Shumard | Physical Therapy Assistant | 128 County Road 145, Wynne, AR 72396 | 2017-08-02 |
1588957476 | Northeast Arkansas Community Mental Health Center | Counselor | 661 Addison Dr., Wynne, AR 72396 | 2011-05-25 |
1417106493 | Katherine Danielle Calhoun | Dietitian, Registered | 1013 Bridges Ave East, Wynne, AR 72396 | 2008-09-15 |
1053531319 | George Scott Puryear, Dds, Pa | Dentist | 715 East Eldrdige Avenue, Wynne, AR 72396 | 2007-04-27 |
1730245465 | Marilyn J Cullum | Counselor | 1742 Falls Blvd. Suite 5, The Logan Center, Wynne, AR 72396 | 2006-12-28 |
1770655185 | Robert Walton Bassham | Dentist | 669 Addison Drive, Wynne, AR 72396 | 2006-11-14 |
1073683827 | George Scott Puryear Jr. | Dentist | 715 E. Eldridge Ave, Wynne, AR 72396 | 2006-11-09 |
1194809517 | Richard Keeter Toland | Dentist | 2100 North Killough, Wynne, AR 72396 | 2006-10-24 |
Find all providers in zip 72396 |
Taxonomy Code | 261QM0855X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adolescent and Children Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
Notes: [7/1/2003: new] |
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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.