NPIMap

Organization Active NPI

Baptist Health Hospitals

Doing business as Baptist Medical Center Stuttgart Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Stuttgart, AR
National Provider Identifier
1003994302
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
AR4534 Issued in AR
Legal business name
BAPTIST HEALTH HOSPITALS
Doing business as
Baptist Medical Center Stuttgart Swing Bed
Practice address
1703 N Buerkle Street
Stuttgart, AR 72160-3153
Phone
(870) 673-3511
Fax
(870) 672-6869
NPI assigned
Nov 2, 2006
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert C Roberts
Title
Sr. Vice President/Cfo
Phone
(501) 202-1542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AR4534 AR Primary

Addresses

Primary practice location

1703 N Buerkle Street
Stuttgart, AR 72160-3153

Mailing address

1703 N Buerkle Street
Stuttgart, AR 72160-3153
Phone (870) 673-3511

Other identifiers 1

IdentifierTypeStateIssuer
100904105MedicaidAR

Other names 1

  • Baptist Medical Center Stuttgart Swing Bed Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224003592 AR Part A Provider - Critical Access Hospital 3870659246 Practice locations: Stuttgart, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003994302. Details of each certification follow.

Hospital certification: CCN 04Z337

Legal name
BAPTIST HEALTH HOSPITALS
Doing business as
BAPTIST HEALTH MEDICAL CENTER - STUTTGART
Organization structure
CorporationNon-profit
Enrollment address
1703 N Buerkle St
Stuttgart, AR 72160-3153
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Larry White Individual Corporate Director Jan 1, 2026
Baptist Health Organization, Little Rock, AR Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 1, 2009
Ronald Dedman Individual Corporate Director Jan 1, 2022
Lamarr Bailey Individual Corporate Director Jan 1, 2024
Herren Hickingbotham Individual Corporate Director Jan 1, 2016
Judy Simmons Henry Individual Corporate Director Jan 1, 2016
Michael Akin Individual Corporate Director Jan 1, 2024
Chris Brune Individual Corporate Director Jan 1, 2026
Troy Wells Individual Corporate Officer Jan 1, 2009
W-2 Managing EmployeePresident Jul 1, 2014
Operational/Managerial Control Jul 1, 2014
Suzanne Peyton Individual Corporate Director Jan 1, 2022
John McMorran Individual Corporate Director Jan 1, 2016
Lindsey Lorence Individual Corporate Director Jan 1, 2026
Steven Booth Individual Corporate Director Jan 1, 2022
David Mitchell Individual Corporate Director Jan 1, 2026
James S Jones Individual Corporate Director Jan 1, 2016
Louis M Lee Individual Corporate Director Jan 1, 2016
Teresa Howell Individual Corporate Director Jan 1, 2016
Brent Beaulieu Individual Corporate Officer Jan 18, 2018
W-2 Managing Employee Jan 18, 2018
Operational/Managerial Control Jan 1, 2018
Glenn Millner Individual Corporate Director Jan 1, 2016
Les Warren Individual Corporate Director Jan 1, 2026

Facilities with the same owner 50

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Baptist Health

    dba Baptist Health Family Clinic Greers Ferry

    • Rural Health Clinic/Center
    • Greers Ferry, AR
    • NPI 1003821703

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Home Health Network

    • Home Health Agency
    • Heber Springs, AR
    • NPI 1033213632

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Medical Center-Little Rock

    • General Acute Care Hospital
    • Little Rock, AR
    • NPI 1043240682

    Baptist Health

    CMS ownership
  • Baptist Health
    • Rural Health Clinic/Center
    • Heber Springs, AR
    • NPI 1104268689

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Family Clinic - Sheridan

    • Rural Health Clinic/Center
    • Sheridan, AR
    • NPI 1114792157

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Home Health Network

    • Home Health Agency
    • Little Rock, AR
    • NPI 1134225451

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Hospice

    • Community Based Hospice Care Agency
    • Little Rock, AR
    • NPI 1164526554

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Medical Center-Arkadelphia

    • Critical Access Hospital
    • Arkadelphia, AR
    • NPI 1174553796

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Rehabilitation Institute

    • Rehabilitation Hospital
    • Little Rock, AR
    • NPI 1215967831

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Medical Center-Psych

    • Psychiatric Hospital Unit
    • Little Rock, AR
    • NPI 1255377420

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Ouachita Valley Family Clinic

    • Rural Health Clinic/Center
    • Camden, AR
    • NPI 1366279424

    Baptist Health

    CMS ownership
  • Baptist Health

    dba Baptist Health Family Clinic - Beebe

    • Rural Health Clinic/Center
    • Beebe, AR
    • NPI 1376336883

    Baptist Health

    CMS ownership
View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1003994302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 N BUERKLE STREET",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603153",
            "telephone_number": "870-673-3511",
            "fax_number": "870-672-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BUERKLE STREET",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721603153",
            "telephone_number": "870-673-3511",
            "fax_number": "870-672-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT/CFO",
        "authorized_official_telephone_number": "501-202-1542"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AR",
            "license": "AR4534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100904105",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baptist Medical Center Stuttgart Swing Bed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stuttgart, AR

Sources for this page

Verify at the official NPI Registry.