| Vista Health Texarkana (prescott Rspmi) | |
|
1484 W 1st St N Prescott AR 71857-3339 | |
| (870) 887-1078 | |
| (870) 887-0281 |
| Full Name | Vista Health Texarkana (prescott Rspmi) |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1484 W 1st St N, Prescott, Arkansas |
| Authorized Official Name and Position | Kyle Naples (CEO) |
| Authorized Official Contact | 4795211427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Health Texarkana (prescott Rspmi) 3352 N Futrall Dr Fayetteville AR 72703-4057 Ph: (479) 521-1427 | Vista Health Texarkana (prescott Rspmi) 1484 W 1st St N Prescott AR 71857-3339 Ph: (870) 887-1078 |
| NPI Number | 1104185966 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104185966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Vista Health Texarkana (prescott Grp) Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1484 W 1st St N, Prescott, AR 71857 Phone: 870-887-1078 Fax: 870-887-0281 | |
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