CRITTENDEN HOSPITAL ASSOCIATION (NPI# 1699836775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699836775 |
| 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 | 2006-12-13 |
| Last Update Date | 2013-11-18 |
| 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 |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 2986 | AR | Hospitals |
| Y | 273Y00000X | Rehabilitation Unit | 2986 | AR | Hospital Units |
| 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 |
| 1235169822 | Crittenden Hospital Association | General Acute Care Hospital | 200 W Tyler Ave, West Memphis, AR 72301-4223 | 2006-07-03 |
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558337931 | St. Vincent Infirmary Medical Center | Rehabilitation Unit | 6101 Saint Vincent Cir, Little Rock, AR 72205-5340 | 2006-02-27 |
| 1295706844 | Phillips Hospital Corporation | Rehabilitation Unit | 1801 Martin Luther King Dr, Helena, AR 72342-8998 | 2006-01-31 |
| 1518591809 | Mercy Hospital Rogers | Rehabilitation Unit | 2710 S Rife Medical Ln, Rogers, AR 72758-1452 | 2020-02-26 |
| 1790147106 | Conway Community Services | Rehabilitation Unit | 1555 Exchange Ave, Conway, AR 72032-7824 | 2016-03-24 |
| 1700269339 | Baptist Memorial Hospital-jonesboro Inc | Rehabilitation Unit | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-07-01 |
| 1871828467 | Fort Smith Hma, LLC | Rehabilitation Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2009-10-15 |
| 1689815268 | Jay Michael Burns | Rehabilitation Unit | 2200 Fort Roots Drive, North Little Rock, AR 72114 | 2009-03-12 |
| 1184879959 | Hot Springs Rehabilitation Hospital | Rehabilitation Unit | 105 Reserve St, Hot Springs, AR 71901-4195 | 2008-11-20 |
| 1689839961 | Arkansas Health Group | Rehabilitation Unit | 9600 Lile Dr, Suite 210, Little Rock, AR 72205-6326 | 2008-07-25 |
| 1326205949 | De Queen Medical Center Inc | Rehabilitation Unit | 1306 W Collin Raye Dr, De Queen, AR 71832 | 2008-05-21 |
| 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.