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BALD KNOB HEALTHCARE CENTER, PA
NPI 1003877036
Clinic/Center in Bald Knob, AR

Active since March 29, 2006
2104 HIGHWAY 367 N, BALD KNOB, AR 72010(501) 724-3110(501) 724-0140 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bald Knob Healthcare Center, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALD KNOB HEALTHCARE CENTER, PA (NPI 1003877036) is a healthcare organization registered as a clinic/center in Bald Knob, Arkansas and active in the NPI registry since March 2006. The organization lists Tina Renee Holder, Medical Office Assistant, as its authorized official.

NPPES Registry Identity

NPI1003877036
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBALD KNOB HEALTHCARE CENTER, PA
Location Address2104 HIGHWAY 367 NBald Knob, AR 72010-9443
Mailing AddressPo Box 1158Bald Knob, AR 72010-1158 · (501) 724-3110 · Fax (501) 724-0140
Phone(501) 724-3110
Fax(501) 724-0140
Organization SubpartNo
Authorized OfficialTina Renee HolderMedical Office Assistant · (501) 724-3110
Enumeration DateMarch 29, 2006
Last NPPES UpdateNovember 3, 2009
✔ NPI 1003877036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AR · E2849
Definition
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).
2104 HIGHWAY 367 N, Bald Knob, AR 72010
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Other Identifiers 6

Other0100548AR · United Heatlhcare
Other02080000800AR · Qualchoice
Other5C933AR · Blue Cross
Medicare UPINH35824AR
Medicare ID-Type Unspecified5C933AR
Medicaid152204002AR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bald Knob Healthcare Center, PA's NPI number?

The NPI number for Bald Knob Healthcare Center, PA is 1003877036. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Bald Knob Healthcare Center, PA located?

Bald Knob Healthcare Center, PA is located at 2104 Highway 367 N, Bald Knob, AR 72010. The listed phone number is (501) 724-3110.

What is Bald Knob Healthcare Center, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bald Knob Healthcare Center, PA was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.