John Davis Woodruff Center Residential Care

LBN: Woodruff County Health Center
John Davis Woodruff Center Residential Care is an health care organization with primary practice located at Hwy 64 W # 139, Mc Crory AR 72101-8223. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Woodruff County Health Center can be contacted via phone (870) 731-2543, or through Brogdon, Gwen S via phone (870) 731-2543.

Contact Information

Primary practice address
Hwy 64 W # 139 Mc Crory AR 72101-8223
Phone: (870) 731-2543
Fax: (870) 731-5027
Website:
Map and Directions
Authorized official contact:
Name: Brogdon, Gwen S
Phone: (870) 731-2543

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 220 Arkansas
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 057 Arkansas

Profile Details

NPI number 1679574727
LBN Legal business name Woodruff County Health Center
DBA Doing business as John Davis Woodruff Center Residential Care
Authorized official Brogdon, Gwen S
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 23rd, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679574727 NPPES
Other 95847673 DEFENSE LOGISTICS AGENCY
Other G24681012 DEFENSE LOGISTICS AGENCY

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