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Crestpark Wynne, LLC

Skilled Nursing Facility in Wynne, AR · enumerated 2008 · authorized official Melisha Dilks, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1518112630

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Registry record

Entity type Organization (Type 2)
Legal business name Crestpark Wynne, LLC
Practice address 400 Arkansas Ave E, Wynne, AR, 72396
Phone (870) 238-7941
Fax (870) 238-1989
Enumeration date Nov 18, 2008
Last updated in NPPES Nov 18, 2008

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 636 (AR) Primary

Authorized official

Name Melisha Dilks
Title Manager
Phone (870) 821-0144

Other identifiers

Identifier Type State Issuer
PENDING Medicaid AR -
015166 Other AR BCBS PROVIDER NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Crestpark Wynne, LLC?
The NPI for Crestpark Wynne, LLC is 1518112630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Crestpark Wynne, LLC?
NPPES lists Melisha Dilks (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-18.