NORTH ARKANSAS REGIONAL MEDICAL CENTER (NPI# 1417948290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417948290 |
Entity Type | Organization |
Organization Name | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
Other Organization Name | MARSHALL FAMILY PRACTICE |
Practice Address |
211 Airport Road Marshall AR 72650 |
Mailing Address |
Po Box 1266 Marshall AR 72650 |
Practice Telephone | 8704483328 |
Mailing Telephone | 8704483328 |
Enumeration Date | 2005-11-02 |
Last Update Date | 2016-07-15 |
Authorized Official Name | MRS. DEANA THOMAS (VP FINANCE / CFO) |
Authorized Official Telephone | 8704145157 |
Is Organization Subpart | Y |
Parent Organization Name | NORTH ARKANSAS REGIONAL MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AR3203 | AR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE CROSS BLUE SHIELD | 5B481 | 01 |
AR | 131315729 | 05 |
Other Name | Type Code |
---|---|
Marshall Family Practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447641790 | North Arkansas Regional Medical Center | Obstetrics & Gynecology | 520 N Pine St Ste B, Harrison, AR 72601-3442 | 2015-02-09 |
1598178493 | North Arkansas Regional Medical Center | Pediatrics | 609 W Clark, Jasper, AR 72641 | 2014-06-09 |
1780941625 | North Arkansas Regional Medical Center | General Practice | 724 N Spring St Ste D, Harrison, AR 72601-2913 | 2012-04-17 |
1740554948 | North Arkansas Regional Medical Center | Family Medicine | 114 E Crandall Ave Ste C, Harrison, AR 72601-3628 | 2012-03-06 |
1588654982 | North Arkansas Regional Medical Center | Clinic/Center | 502 W Court St, Jasper, AR 72641 | 2005-10-26 |
1740270404 | North Arkansas Regional Medical Center | Clinic/Center | 131 East Hwy 14, Lead Hill, AR 72644-0366 | 2005-10-25 |
1154809051 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-08-02 |
1487144044 | North Arkansas Regional Medical Center | Family Medicine | 620 N Main St, Harrison, AR 72601-2911 | 2018-05-18 |
1831640341 | North Arkansas Regional Medical Center | Behavioral Analyst | 620 N Main St, Harrison, AR 72601-2911 | 2016-10-19 |
1881143279 | North Arkansas Regional Medical Center | Anesthesiology | 620 N Main St, Harrison, AR 72601-2911 | 2016-09-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTH ARKANSAS REGIONAL MEDICAL CENTER | 620 North Main, Harrison, AR 72601-2911 |
Street Address |
211 AIRPORT ROAD |
City | MARSHALL |
State | AR |
Zip Code | 72650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235371758 | Jerrad C Reese | Nurse Practitioner | 211 Airport Road, Marshall, AR 72650 | 2009-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124254255 | Keshia Grinder | Counselor | 316 Hwy 65 N, Marshall, AR 72650 | 2009-06-03 |
1629214150 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 200 E Main Street, Marshall, AR 72650 | 2009-01-06 |
1649466178 | Andrea Lea Mccallister | Occupational Therapist | 201 West College St, Searay County School District, Marshall, AR 72650 | 2007-09-18 |
1841405040 | Highland Court, LLC | Skilled Nursing Facility | 100 South Cedar St, Marshall, AR 72650 | 2007-05-11 |
1770701690 | Carylene Gentry | Optometrist | 303 E. Main St., Marshall, AR 72650 | 2007-04-23 |
1790815827 | Jeri A White | Registered Nurse | 316 Hwy 65 North, Marshall, AR 72650 | 2007-03-07 |
1992848493 | Marshall Medic Pharmacy, Inc. | Pharmacy | 243 Hwy 65 North, Marshall, AR 72650 | 2007-02-14 |
1912057118 | Marshall Family Eyecare | Optometrist | 303 E. Main, Marshall, AR 72650 | 2007-01-11 |
1609947068 | Michael Baker Pharmacy, Inc. | Pharmacy | 101 W. Main St., Marshall, AR 72650 | 2006-11-10 |
1679658637 | White River Health System | Skilled Nursing Facility | 100 South Cedar, Marshall, AR 72650 | 2006-10-26 |
Find all providers in zip 72650 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083990808 | Marshall Rural Health Clinic | Clinic/Center | 805 Lindsey St, Marshall, TX 75670-5249 | 2011-10-25 |
1902827512 | Missouri Valley Physicians P C | Clinic/Center | 2303 S. Hwy 65, Marshall, MO 65340 | 2006-07-21 |
1457325649 | Harrison County Hospital Association | Clinic/Center | 618 S Grove St Ste 100, Marshall, TX 75670-5294 | 2006-02-14 |
1144293978 | Harrison County Hospital Association | Clinic/Center | 707 S Grove St, Marshall, TX 75670-5220 | 2006-02-10 |
1750361085 | Harrison County Hospital Association | Clinic/Center | 805 Lindsey Dr, Marshall, TX 75670-5271 | 2006-01-20 |
1205817319 | Marshall Rural Health Clinic | Clinic/Center | 703 S Washington Ave, Marshall, TX 75670-5337 | 2005-11-07 |
1437668746 | Jefferson City Medical Group, PC | Clinic/Center | 2303 S Highway 65 Ste A, Marshall, MO 65340-3735 | 2017-09-29 |
1609391911 | Access Medical Clinic Arkansas LLC | Clinic/Center | 942 Highway 65 N, Marshall, AR 72650-7772 | 2017-08-08 |
1578995528 | Harrison County Hospital Association | Clinic/Center | 304 University Ave, Suite 105, Marshall, TX 75670-5210 | 2013-08-01 |
1215059985 | John Fitzgibbon Memorial Hospital, Inc. | Clinic/Center | 2305 S Highway 65, Marshall, MO 65340-3702 | 2007-04-04 |
Find all providers in MARSHALL |
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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.