Look up the most recent NPI and PECOS records

Callie Hildreth

Case Manager/Care Coordinator

Other Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Callie Hildreth does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1093838146
Provider Type
Individual
Full Name
Hildreth, Callie
Title
Ms.
Credential
MHPP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/6/2007
Last Updated
7/8/2007

Contact Information

Practice Location

381 Ouachita 396, Camden, AR 71701-9155

(870) 231-9888

Unlisted Fax

Mailing Location

381 Ouachita 396, Camden, AR 71701-9155

(870) 231-9888

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID NONE	Description Other	Issuer MENTAL HEALTH PARAPROFESS Arkansas

Callie Hildreth

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ferguson, Akquilla

Dolive, Caitlin

Deffenbaugh, Dawn

Holland, Detta F

Jones, Kendall

Kelley, Laquisha

Cleveland, Amber

Crow, Alvina

Frazier, Kimberly L

Brown, Deneshia Sheree