| Organization Name: | ARKANSAS DEPARTMENT OF HEALTH |
| NPI Number: | 1205154044 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI S WRIGHT (AGENCY PROGRAM COORDINATOR) |
| Mailing Address: | 1742 Hwy 65 And 82 South Lake Village |
| State: | AR US |
| Postal Code: | 71653 |
| Phone Number: | 8702652236 |
| Fax Number: | 8702658001 |
| NPI Enumeration Date: | 05/04/2010 |
| NPI Last Update Date: | 05/04/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |