| Organization Name: | ARKANSAS DEPARTMENT OF HEALTH MATERNTIY |
| NPI Number: | 1376880815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI S. WRIGHT (FISCAL SUPPORT SUPERVISOR) |
| Mailing Address: | 4815 W Markham St Little Rock |
| State: | AR US |
| Postal Code: | 722053866 |
| Phone Number: | 5016612859 |
| Fax Number: | 5016612691 |
| NPI Enumeration Date: | 01/03/2013 |
| NPI Last Update Date: | 01/03/2013 |
| 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: | |