Organization · Type 2 NPI

South Arkansas Regional Health Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Fordyce, AR

NPI number 1376187203 Active

Practice location

119 W 3rd St
Fordyce, AR 71742-3220

Call (870) 893-9928 Map

Mailing address

715 N College Ave
El Dorado, AR 71730-4403

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	None listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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NPI record

NPI: 1376187203
Entity type: Organization (Type 2)
Issued: Nov 4, 2019
Last updated: Nov 4, 2019
Status: Active
Subpart: Yes of South Arkansas Regional Health Center

Other names

South Arkansas Regional Health Center Fordyce Clinic · doing business as

Authorized official

Regina Pierce
Chief Executive Officer
(870) 862-7921

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1376187203

South Arkansas Regional Health Center's National Provider Identifier is 1376187203, issued on Nov 4, 2019. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fordyce, AR. The record was last updated on Nov 4, 2019.