MID SOUTH HEALTH SYSTEMS (NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC) NPI 1477033322

Community/Behavioral Health in Cherokee Village, AR

NPI 1477033322 Organization Community/Behavioral Health

About MID SOUTH HEALTH SYSTEMS (NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC)

Mid South Health Systems (northeast Arkansas Community Mental Health Center Inc) is a provider established in Cherokee Village, Arkansas specializing in community/behavioral health. The NPI number of Mid South Health Systems (northeast Arkansas Community Mental Health Center Inc) is 1477033322 and was assigned on August 2018. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Mid South Health Systems. The authorized official of this NPI record is Carla Jones (Office Manager)

NPI

1477033322

Provider NameMID SOUTH HEALTH SYSTEMS (NORTHEAST ARKANSAS COMMUNITY MENTAL HEALTH CENTER INC)
Provider Location Address33 CHOCTAW TRCE CHEROKEE VILLAGE, AR 72529
Provider Mailing Address2707 BROWNS LN JONESBORO, AR 72401
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMID SOUTH HEALTH SYSTEMS
Other Name TypeDoing Business As (3)
Enumeration Date08-20-2018
Last Update Date02-21-2020


Primary Taxonomy

Taxonomy Code251S00000X
ClassificationCommunity/Behavioral Health
TypeAgencies
Taxonomy DescriptionA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Business Address

MID SOUTH HEALTH SYSTEMS
33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR
ZIP 72529
Phone: (870) 972-4939
Fax: (870) 972-4911

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Mailing Address

MID SOUTH HEALTH SYSTEMS
2707 BROWNS LN
JONESBORO, AR
ZIP 72401
Phone: (870) 972-4000
Fax: (870) 972-4968



Authorized Official

Authorized Official Name CARLA JONES
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(870) 972-4000

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275513996MRS. LAURA ANN WOOD LPN
Individual
Licensed Practical Nurse33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 994-2106
1124166301MRS. BETTY C. EASH LPC
Individual
Counselor (Professional)33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 972-4939
1801176888MR. THOMAS NORTON LPC
Individual
Counselor (Professional)33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 972-4939
1194134494 BRENESHA BRYELLE LAMBERT LAC
Individual
Counselor (Mental Health)33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 919-8608
1790366995 JULIA CHANCE
Individual
Social Worker33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 919-8608
1164908778 NICOLE LEAH MARTIN
Individual
Social Worker33 CHOCTAW TRCE
CHEROKEE VILLAGE, AR 72529
(870) 972-4939

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.