NPI 1346513637

Full Potential

Organisation Health Maintenance Organization Alexander, AR

Practice location

Address: 1032 Skyline Dr, Alexander, AR 72002-1749
Phone: (870) 814-5180

Authorised official

Name: Wanda Nelson
Title: Biller
Phone: (501) 562-5400

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence OT-A471 (AR)

Other Health Maintenance Organization providers in Arkansas →

Registry record

NPI: 1346513637
Entity type: Organization
NPI issued: 16 Feb 2012
Record last updated: 16 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.