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OPEN DOOR HEALTH AND COMMUNITY SERVICES
NPI 1063871044
Nurse Practitioner - Family in West Fork, AR

Active since February 18, 2016
425 N CENTENNIAL AVE, SUITE A, WEST FORK, AR 72774(479) 294-6151(479) 294-6152 Get Directions Write a Review

NPPES record last updated: February 18, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Open Door Health And Community Services NPPES

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

OPEN DOOR HEALTH AND COMMUNITY SERVICES (NPI 1063871044) is a healthcare organization registered as a family in West Fork, Arkansas and active in the NPI registry since February 2016. The organization lists Lela R Shipman, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1063871044
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameOPEN DOOR HEALTH AND COMMUNITY SERVICES
Location Address425 N CENTENNIAL AVE, SUITE AWest Fork, AR 72774-2708
Mailing Address425 N Centennial Ave, Suite AWest Fork, AR 72774-2708 · (479) 294-6151 · Fax (479) 294-6152
Phone(479) 294-6151
Fax(479) 294-6152
Organization SubpartNo
Authorized OfficialLela R ShipmanFamily Nurse Practitioner · (479) 294-6151
Enumeration DateFebruary 18, 2016
✔ NPI 1063871044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AR · A001150
425 N CENTENNIAL AVE, West Fork, AR 72774
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPEN DOOR HEALTH AND COMMUNITY SERVICES
Nurse Practitioner (Family)
425 N CENTENNIAL AVE, SUITE A
WEST FORK, AR 72774
Washington County (479) 294-6151

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 Open Door Health And Community Services's NPI number?

The NPI number for Open Door Health And Community Services is 1063871044. It was assigned to this organization in the NPPES registry on February 18, 2016.

Where is Open Door Health And Community Services located?

Open Door Health And Community Services is located at 425 N Centennial Ave Suite A, West Fork, AR 72774. The listed phone number is (479) 294-6151.

What is Open Door Health And Community Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Open Door Health And Community Services was last updated on February 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.