| Howard Memorial Hospital | |
|
122 Medical Cir Nashville AR 71852-8606 | |
| (870) 845-6069 | |
| (845) 845-6068 |
| Full Name | Howard Memorial Hospital |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 122 Medical Cir, Nashville, Arkansas |
| Authorized Official Name and Position | Judy Ann Kosters (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Contact | 8708458024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard Memorial Hospital 130 Medical Cir Nashville AR 71852-8606 Ph: (870) 845-8024 | Howard Memorial Hospital 122 Medical Cir Nashville AR 71852-8606 Ph: (870) 845-6069 |
| NPI Number | 1104282664 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 7315851599 |
|---|---|
| Medicare Enrollment ID | O20160607001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104282664 | NPI | - | NPPES |
| AR4577 | Other | AR | HOSPITAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | E-5611 (Arkansas) | Primary |
| Provider Name | Robert C Strayhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023178043 PECOS PAC ID: 7810980828 Enrollment ID: I20080725000554 |
| Provider Name | Shalunda R Sasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710312285 PECOS PAC ID: 0244463396 Enrollment ID: I20171003005599 |
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