Joseph L Ridgeway, Recovery Assistant
Case Manager/Care Coordinator in Benton, AR. Individual provider (NPI-1).
NPI number1982132197
StatusActive
Last updated in NPPESJun 1, 2017
Details
- NPI
- 1982132197
- Entity type
- Individual (NPI-1)
- Name
- Joseph L Ridgeway
- Credential
- Recovery Assistant
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2017
- Last updated
- Jun 1, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | AR | Yes |
Practice location
6701 Highway 67Benton, AR 72015-8909
Phone 501-303-3105
Mailing address
Po Box 1589Benton, AR 72018-1589
Phone 501-303-3105
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 999 Case Manager/Care Coordinator providers in Benton · All 2,212 providers in Benton
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