Provider Demographics
NPI:1174115307
Name:PENDULUM HEALTH SYSTEMS
Entity type:Organization
Organization Name:PENDULUM HEALTH SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-465-8371
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:AR
Mailing Address - Zip Code:71744-0256
Mailing Address - Country:US
Mailing Address - Phone:940-465-8371
Mailing Address - Fax:
Practice Address - Street 1:121 SUMLER ST
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:AR
Practice Address - Zip Code:71744-9558
Practice Address - Country:US
Practice Address - Phone:940-465-8371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty