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Cossatot Polk County Senior Citizens, Inc.

Home Delivered Meals in Wickes, AR · enumerated 2008 · authorized official Phyllis Ray, Executive Director.

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

National Provider Identifier

1679747513

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Registry record

Entity type Organization (Type 2)
Legal business name Cossatot Polk County Senior Citizens, Inc.
Other name <Unavail>
Practice address 7366 Highway 71 S, Wickes, AR, 71973
Fax (870) 385-2390
Enumeration date Apr 22, 2008
Last updated in NPPES Apr 22, 2008

Taxonomy & classification

332U00000X Home Delivered Meals Suppliers · License 92733 (AR) Primary

Authorized official

Name Phyllis Ray
Title Executive Director

Other identifiers

Identifier Type State Issuer
160106753 Medicaid AR -

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

Who is the authorized official for Cossatot Polk County Senior Citizens, Inc.?
NPPES lists Phyllis Ray (Executive Director) as the authorized official for this organization.
What is the NPI number for Cossatot Polk County Senior Citizens, Inc.?
The NPI for Cossatot Polk County Senior Citizens, Inc. is 1679747513, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-22.