TREVIA GOODALL


Address: 800 W Broadway St, West Memphis, AR 72301-2912
Phone: 8707355174

TREVIA GOODALL (NPI# 1073048849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073048849
Entity Type Individual
Full Name TREVIA GOODALL
Practice Address 800 W Broadway St
West Memphis
AR 72301-2912
Mailing Address 709 N 14th St
West Memphis
AR 72301-2138
Practice Telephone 8707355174
Enumeration Date 2017-04-28
Last Update Date 2017-04-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital R095145 AR Hospitals

Office Location

Street Address 800 W BROADWAY ST
City WEST MEMPHIS
State AR
Zip Code 72301-2912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528693058 Rebecca Gromley Speech-Language Pathologist 800 W Broadway St, West Memphis, AR 72301-2912 2020-03-05
1366089427 West Memphis Wellness LLC Skilled Nursing Facility 800 W Broadway St, West Memphis, AR 72301-2912 2019-12-06
1003398843 Community Compassion West Memphis Skilled Nursing Facility 800 W Broadway St, West Memphis, AR 72301-2912 2018-08-29
1396119731 Broadway Health Holdings LLC Skilled Nursing Facility 800 W Broadway St, West Memphis, AR 72301-2912 2015-11-23
1326472770 Broadway Health and Rehab, LLC Skilled Nursing Facility 800 W Broadway St, West Memphis, AR 72301-2912 2013-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235755497 Shannon Mcelroy Pharmacist 300 I-40 Service Rd, West Memphis, AR 72301 2020-06-23
1891319745 Heather Nichole Fesperman Nurse Practitioner 420 W Cooper Ave, West Memphis, AR 72301 2020-06-05
1174161475 Mary Williams Pharmacist 300 I-40 Service Road, West Memphis, AR 72301 2019-12-17
1336787035 Yolanda Monique Fulton Assisted Living Facility 711 Purduve Ave, West Memphis, AR 72301 2019-12-13
1255813317 Urgent Care Travel, Inc Clinic/Center 3400 Service Loop 2, West Memphis, AR 72301 2018-09-05
1841770302 Cuffie Healthcare LLC Home Health 403 Ingram Blvd, West Memphis, AR 72301 2018-08-15
1467940312 Mark Aaron Whitlock Dentist 110 Dover Rd, West Memphis, AR 72301 2018-04-26
1043715329 Crossroads Treatment Center of West Memphis, PC Clinic/Center 103 S Avalon St, West Memphis, AR 72301 2018-03-28
1114445202 Deborah Thompson Ferguson Dentist 200 S Rhodes St Ste B, West Memphis, AR 72301 2017-09-08
1154745487 Erin Camille Greer Specialist/Technologist 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 2014-02-06
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437634524 Baptist Memorial Hospital - Crittenden Inc General Acute Care Hospital 2100 N 7th St, West Memphis, AR 72301-2017 2018-09-25
1699836775 Crittenden Hospital Association General Acute Care Hospital 200 W Tyler Ave, West Memphis, AR 72301-4223 2006-12-13
1235169822 Crittenden Hospital Association General Acute Care Hospital 200 W Tyler Ave, West Memphis, AR 72301-4223 2006-07-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841898293 Arkansas Heart Hospital LLC General Acute Care Hospital 1901 Encore Way, Bryant, AR 72019 2020-10-16
1972070993 Little Rock Hospital 1, LLC General Acute Care Hospital 212 Willie Ray Dr, Cabot, AR 72023 2018-10-29
1285005140 Conway Community Services General Acute Care Hospital 1555 Exchange Avenue, Conway, AR 72032 2015-10-16
1770959017 Tennessee Valley Health Care System General Acute Care Hospital 18 Point West Cv, Little Rock, AR 72211-3371 2015-08-20
1629455662 Andrea Perkins General Acute Care Hospital 118 Essex St, Hot Springs, AR 71913-5845 2015-04-29
1558748657 Marie Lauren Hatfield General Acute Care Hospital 1753 College Ave, Suite 100, Fayetteville, AR 72703 2015-04-28
1942624465 Cheryl Friday General Acute Care Hospital 204 River Ridge Pt, Little Rock, AR 72227-1500 2014-02-05
1356773493 Arkansas Continued Care Hospital of Jonesboro, LLC General Acute Care Hospital 3024 Red Wolf Blvd Ste 1, Jonesboro, AR 72401-7415 2013-07-31
1558612309 Emilee Erin Phillips General Acute Care Hospital 3401 W Markham St., Little Rock, AR 72205 2012-09-19
1144590522 St. Vincent Infirmary Medical Center General Acute Care Hospital 10100 Kanis Road, Little Rock, AR 72205 2012-01-03
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Competitor

Search similar providers

City WEST MEMPHIS
Zip Code 72301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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