CRITTENDEN HOSPITAL ASSOCIATION (NPI# 1235169822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235169822 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN HOSPITAL ASSOCIATION |
| Practice Address |
200 W Tyler Ave West Memphis AR 72301-4223 |
| Mailing Address |
Po Box 2248 West Memphis AR 72303-2248 |
| Practice Telephone | 8707351500 |
| Practice Fax Number | 8707327714 |
| Mailing Telephone | 8707351500 |
| Mailing Fax Number | 8707327714 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-11-08 |
| Authorized Official Name | MS. DANA SMITH (PATIENT FINANCIAL SERVICES DIRECTOR) |
| Authorized Official Telephone | 8707351500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2986 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 101932105 | 05 | |
| AR | 770006505 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613362 | Crittenden Hospital Association | Family Medicine | 303 Bancario Rd., Suite 1, Marion, AR 72364-2220 | 2013-03-20 |
| 1659611911 | Crittenden Hospital Association | Obstetrics & Gynecology | 228 Tyler, Suite 304, West Memphis, AR 72301-4257 | 2013-02-25 |
| 1619274792 | Crittenden Hospital Association | Pediatrics | 710 N Missouri St, West Memphis, AR 72301-3150 | 2011-02-25 |
| 1194958249 | Crittenden Hospital Association | Internal Medicine | 310 Judge Smith Dr, Marion, AR 72364-2220 | 2009-08-24 |
| 1609084268 | Crittenden Hospital Association | Home Health | 48 Frisco St, Marked Tree, AR 72365-2214 | 2007-05-18 |
| 1902843857 | Crittenden Hospital Association | Home Health | 109 N Walnut St, Osceola, AR 72370-2517 | 2006-06-01 |
| 1982661500 | Crittenden Hospital Association | Pediatrics | 2921 Hwy 77, Suite 20, Marion, AR 72364-2367 | 2006-04-27 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| 1821113879 | Crittenden Hospital Association | Anesthesiology | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-03-20 |
| 1699836775 | Crittenden Hospital Association | General Acute Care Hospital | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-12-13 |
| Street Address |
200 W TYLER AVE |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368759 | Donald William Edgerly | Family Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2005-12-30 |
| 1811397466 | Meshelle Elizabeth Nabors | Registered Nurse | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-09-02 |
| 1386064103 | Brittany Forbes | Nurse Practitioner | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2014-04-19 |
| 1679833651 | Crittenden Physician Services LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2012-05-23 |
| 1225366024 | Crittenden Emergency Group LLC | Physician Assistant | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-12-07 |
| 1659608735 | Angela R Whatley | Doula | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-11-10 |
| 1346483799 | Kimberly Latashia Crenshaw | Emergency Medicine | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2009-04-15 |
| 1215182985 | Jason C Mckewen | Pharmacist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2008-11-23 |
| 1588875629 | Deepali Suryavanshi | Occupational Therapist | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-24 |
| 1316155971 | Crittenden Hospital Association | Home Health | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2007-05-18 |
| Find all providers in the same location | ||||
| 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 |
| 1073048849 | Trevia Goodall | General Acute Care Hospital | 800 W Broadway St, West Memphis, AR 72301-2912 | 2017-04-28 |
| 1699836775 | Crittenden Hospital Association | General Acute Care Hospital | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-12-13 |
| 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 |
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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.