OPEN DOOR HEALTH AND COMMUNITY SERVICES
NPI 1366864530
Nurse Practitioner - Family in West Fork, AR

Q: 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.

Active since January 07, 2014

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: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1366864530) is a healthcare organization registered as a family in West Fork, Arkansas and active in the NPI registry since January 2014. The organization lists Lela R. Shipman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1366864530

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 Ste 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. ShipmanExecutive Director · (479) 294-6151

Enumeration DateJanuary 7, 2014

Last NPPES UpdateJanuary 28, 2014

✔ NPI 1366864530 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 · AOO1150

425 N CENTENNIAL AVE, West Fork, AR 72774

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Other Identifiers 1

Medicare PIN1275562258AR

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 1366864530. It was assigned to this organization in the NPPES registry on January 7, 2014.

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 January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.