JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. (NPI# 1073748406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748406 |
| Entity Type | Organization |
| Organization Name | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. |
| Other Organization Name | CHAMBERS MEMORIAL CLINIC |
| Practice Address |
719 Detroit Street Danville AR 72833-0639 |
| Mailing Address |
Po Box 639 Danville AR 72833-0639 |
| Practice Telephone | 4794952241 |
| Practice Fax Number | 4794956290 |
| Mailing Telephone | 4794952241 |
| Mailing Fax Number | 4794956290 |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | MICHAEL SCOTT PEEK (CEO) |
| Authorized Official Telephone | 4794952241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | AR4293 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113073002 | 05 |
| Other Name | Type Code |
|---|---|
| Chambers Memorial Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431384 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 310 West Broadway, Havana, AR 72842-0099 | 2007-08-06 |
| 1942237268 | John Ed Chambers Memorial Hospital, Inc. | Home Health | Hwy 10 East, Danville, AR 72833-0639 | 2006-06-26 |
| 1760418842 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 402 South Scenic 7 Drive, Ola, AR 72853 | 2006-06-23 |
| 1922589472 | John Ed Chambers Memorial Hospital, Inc. | Ambulance | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-08-23 |
| 1154358307 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1740217884 | John Ed Chambers Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1902842255 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-22 |
| Street Address |
719 DETROIT STREET |
| City | DANVILLE |
| State | AR |
| Zip Code | 72833-0639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649223033 | Thomas John Tinnesz | Specialist | 719 Detroit Street, Danville, AR 72833 | 2006-05-18 |
| 1932314879 | John Ed Chambers Memorial Hospital | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2007-05-14 |
| 1154358307 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1740217884 | John Ed Chambers Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1841227071 | William L Berry | Emergency Medicine | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1902842255 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916635 | Alexandra Grace Cathey | Occupational Therapy Assistant | 810 Dan Ark Circle, Danville, AR 72833 | 2019-01-22 |
| 1093226151 | Mallory P Fowler | Case Manager/Care Coordinator | 1408 E. 8th St, Danville, AR 72833 | 2017-10-17 |
| 1538565213 | W.p. Malone, Inc. | Pharmacy | 708 E. 8th Street, Danville, AR 72833 | 2014-11-07 |
| 1104171990 | Caring Hearts, Inc. | Case Management | 1408 East 8th Street, Suite C, Danville, AR 72833 | 2012-07-17 |
| 1023380946 | Stewart Blake Scoggin | Physical Therapy Assistant | 719 Detroit St, Chambers Memorial Hospital, Danville, AR 72833 | 2012-02-08 |
| 1447529847 | Amanda J. Swint | Physical Therapy Assistant | 410 Main Stree, Danville, AR 72833 | 2011-12-14 |
| 1114162591 | Natalie Danielle Tarte | Behavioral Analyst | 730 Boston Street, Danville, AR 72833 | 2008-12-12 |
| 1467605113 | Ola Susan Huffmaster Okroglic | Counselor | 730 Boston St, Danville, AR 72833 | 2008-10-28 |
| 1750542221 | Rose Drug of Danville Inc | Durable Medical Equipment & Medical Supplies | 708 E 8th Street, Danville, AR 72833 | 2008-06-18 |
| 1952591489 | Lisa Olsen | Occupational Therapist | 714 N Detroit, Danville, AR 72833 | 2007-07-31 |
| Find all providers in zip 72833 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
| 1518430925 | Ainsley Medical LLC | Clinic/Center | 625 Piney Forest Rd Ste 401a, Danville, VA 24540-2870 | 2019-01-08 |
| 1124389655 | Geisinger Medical Center | Clinic/Center | 16 Woodbine Lane, Danville, PA 17821 | 2012-05-31 |
| 1659638401 | Pediatric Providers of Danville, Ltd | Clinic/Center | 737 N Logan Ave, Danville, IL 61832-4363 | 2012-04-18 |
| 1720350275 | Kahlon Surinderpal S | Clinic/Center | 601 N Logan Ave, Danville, IL 61832-4320 | 2012-01-30 |
| 1457650343 | Geisinger Medical Center | Clinic/Center | 16 Woodbine Lane, Danville, PA 17821 | 2011-03-18 |
| 1518281039 | Geisinger Medical Center | Clinic/Center | 16 Woodbine Lane, Danville, PA 17821 | 2010-03-26 |
| 1295067429 | Friends of Advocate | Clinic/Center | 2605 E Main St, Danville, IN 46122-8468 | 2010-02-14 |
| 1063540011 | Geisinger Medical Center | Clinic/Center | 100 N Academy Ave, Danville, PA 17822 | 2007-03-01 |
| 1063558328 | County of Vermilion | Clinic/Center | 200 S College St, Suite A, Danville, IL 61832-6744 | 2007-01-30 |
| Find all providers in DANVILLE | ||||
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| 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.