TREVIA GOODALL (NPI# 1073048849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | R095145 | AR | Hospitals |
Street Address |
800 W BROADWAY ST |
City | WEST MEMPHIS |
State | AR |
Zip Code | 72301-2912 |
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 |
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 |
Find all providers in zip 72301 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | WEST MEMPHIS |
Zip Code | 72301 |
Please comment or provide details below to improve the information on TREVIA GOODALL.
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.