CRITTENDEN HOSPITAL ASSOCIATION (NPI# 1780620534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620534 |
| Entity Type | Organization |
| Organization Name | CRITTENDEN HOSPITAL ASSOCIATION |
| Other Organization Name | RIVERSIDE CLINIC |
| Practice Address |
105 Nathan St Marked Tree AR 72365-1447 |
| Practice Telephone | 8703582036 |
| Practice Fax Number | 8703584116 |
| Mailing Telephone | 8703582036 |
| Mailing Fax Number | 8703584116 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | RAMONA TAYLOR (DIRECTOR OF DEVELOPMENT) |
| Authorized Official Telephone | 8707355527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside Clinic | Doing Business As Name - Organization |
| 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 |
105 NATHAN ST |
| City | MARKED TREE |
| State | AR |
| Zip Code | 72365-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043523228 | Mary Melissa Cantrell | Nurse Practitioner | 105 Nathan St, Marked Tree, AR 72365-1447 | 2010-07-16 |
| 1033394804 | Tracy Renee Pilgrim | Nurse Practitioner | 105 Nathan St, Marked Tree, AR 72365 | 2007-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255593232 | Dr Bryan Caplinger Pa | Optometrist | 116 Nathan, Marked Tree, AR 72365 | 2008-06-30 |
| 1740368174 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 33904 Highway 63, Marked Tree, AR 72365 | 2006-11-02 |
| 1174925945 | Arkansas Home Health Providers-iv, LLC | Home Health | 107 Nathan St, Marked Tree, AR 72365-1447 | 2014-09-23 |
| 1912305186 | Caring Hearts Home Care Provider LLC | Home Health | 108 Nathan St, Marked Tree, AR 72365-1448 | 2014-12-19 |
| 1538597588 | Michael A. Curtis Od Plc | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2013-10-29 |
| 1669839486 | Cjmh, LLC | Optometrist | 116 Nathan St, Marked Tree, AR 72365-1448 | 2016-01-25 |
| 1932271590 | Roach Enterprises Inc | Durable Medical Equipment & Medical Supplies | 98 Highway 63b Ste A, Suite A, Marked Tree, AR 72365-1614 | 2006-11-15 |
| 1477179422 | Bianca Smith | Technician | 136 Pecan St, Marked Tree, AR 72365-1926 | 2020-06-24 |
| 1386118800 | Titus Leraun Crockett | Case Manager/Care Coordinator | 101 Raymond St, Marked Tree, AR 72365-2001 | 2019-01-17 |
| 1992221287 | Southern Health and Wellness, Inc | Pharmacy | 203 Newsome Dr Ste A, Marked Tree, AR 72365-2018 | 2017-08-17 |
| Find all providers in zip 72365 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831595057 | Bradley Bibb Md Pllc | Clinic/Center | 202 Newsome Dr, Marked Tree, AR 72365-2021 | 2014-11-16 |
| 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 | ||||
| City | MARKED TREE |
| Zip Code | 72365 |
Please comment or provide details below to improve the information on CRITTENDEN HOSPITAL ASSOCIATION.
| 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.