CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS (NPI# 1164752994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164752994 |
| Entity Type | Organization |
| Organization Name | CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS |
| Practice Address |
320 Luzerne St Mount Ida AR 71957-9437 |
| Mailing Address |
Po Box 21850 Hot Springs AR 71903-1850 |
| Practice Telephone | 8708672175 |
| Practice Fax Number | 8708674050 |
| Mailing Telephone | 5016271800 |
| Mailing Fax Number | 5016271899 |
| Enumeration Date | 2009-12-29 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | MR. SHAWN BARNETT (CFO) |
| Authorized Official Telephone | 5016092229 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154651982 | Chi St. Vincent Medical Group Hot Springs | Family Medicine | 234 E Broadway, Glenwood, AR 71943-9243 | 2009-12-29 |
| 1598095325 | Chi St. Vincent Medical Group Hot Springs | Family Medicine | 319 E 13th St, Murfreesboro, AR 71958-9541 | 2009-12-29 |
| 1831387117 | Chi St. Vincent Medical Group Hot Springs | General Practice | 1 Mercy Ln, Suite 201, Hot Springs, AR 71913-6442 | 2007-10-11 |
| Street Address |
320 LUZERNE ST |
| City | MOUNT IDA |
| State | AR |
| Zip Code | 71957-9437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124095120 | Michael Verser | Family Medicine | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2006-03-08 |
| 1417506676 | Samantha Bollan | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2019-09-10 |
| 1033577234 | Heather N Funderburk | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2016-02-02 |
| 1518337765 | Kara J Hill | Physician Assistant | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2015-09-30 |
| 1700268042 | Sherry Housley | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2015-06-23 |
| 1982978532 | Lori D Fortner | Nurse Practitioner | 320 Luzerne St, Mount Ida, AR 71957-9437 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619326881 | Wagner Drugs, Inc. | Pharmacy | 744 Hwy 270 East, Mount Ida, AR 71957 | 2016-06-08 |
| 1245699636 | Seeking Serenity Holistic Therapy Center | Social Worker | 506 Hwy 270 E, Mt.ida, AR 71957 | 2016-02-15 |
| 1518368562 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 136 S George Street, Mt Ida, AR 71957 | 2014-09-09 |
| 1306276217 | Compleat Rehab and Sports Therapy Center(satellite Branch)of Jordan Pt | Physical Therapist | 135 South East Street, Mt.ida, AR 71957 | 2013-11-14 |
| 1265871370 | Barbara E Page | Veterinarian | 317 North George St, Mount Ida, AR 71957 | 2013-06-21 |
| 1609079102 | Cynthia Jean Crowson | Social Worker | 506 Highway 270 East, Mt. Ida, AR 71957 | 2007-06-11 |
| 1124229794 | David P Hochstedler | Physical Therapist | 741 South Dr, Mt. Ida, AR 71957 | 2007-05-30 |
| 1386864791 | Samantha Dawn Ashford | Physical Therapy Assistant | 741 S Drive, Mount Ida, AR 71957 | 2007-04-26 |
| 1396964557 | Jerry Daniel Mullin | Skilled Nursing Facility | 741 South Drive, Mt. Ida, AR 71957 | 2007-04-25 |
| 1861585002 | City Drug and Soda Fountain | Durable Medical Equipment & Medical Supplies | 121 W S West Street, Mount Ida, AR 71957 | 2006-10-02 |
| Find all providers in zip 71957 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
| 1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
| 1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
| 1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
| 1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
| 1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
| 1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
| 1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
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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.