| Rpi Behavioral Health | |
|
1310 W Main St Ste 201 Russellville AR 72801-2803 | |
| (479) 968-2001 | |
| Not Available |
| Full Name | Rpi Behavioral Health |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1310 W Main St Ste 201, Russellville, Arkansas |
| Authorized Official Name and Position | Jim Knight (PRESIDENT/CEO) |
| Authorized Official Contact | 4799682001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rpi Behavioral Health 1310 W Main St Ste 201 Russellville AR 72801-2803 Ph: () - | Rpi Behavioral Health 1310 W Main St Ste 201 Russellville AR 72801-2803 Ph: (479) 968-2001 |
| NPI Number | 1568943140 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 1153751334 |
|---|---|
| Medicare Enrollment ID | O20200501000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568943140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Toni Clingmon Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275728974 PECOS PAC ID: 8729412507 Enrollment ID: I20200103000291 |
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