NPIMap

Organization Active NPI

Saline Hospital LLC

  • Rehabilitation Hospital Unit
  • Benton, AR
National Provider Identifier
1013091925
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
710772959 Issued in AR
Legal business name
SALINE HOSPITAL LLC
Practice address
1 Medical Park Dr
Benton, AR 72015-3353
Phone
(501) 776-6000
Fax
(501) 776-6048
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Charlotte Lawrence
Title
Secretary
Phone
(615) 920-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 710772959 AR Primary

Addresses

Primary practice location

1 Medical Park Dr
Benton, AR 72015-3353

Mailing address

1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000

Other names 1

  • Saline Memorial Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medicalrecords@smhar.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161110000039 AR Part A Provider - Hospital 5890074181 Practice locations: Benton, AR

Hospital certification: CCN 04T084

Legal name
SALINE HOSPITAL LLC
Doing business as
SALINE MEMORIAL HOSPITAL
Organization structure
LLCProprietary
Incorporated
May 24, 2016 in DE
Enrollment address
1 Medical Park Drive
Benton, AR 72015-3353
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Saline Memorial HospitalCCN 04T084
Ownership
For profit
Certified
Aug 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Saline Hospital LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3 Medical Park Dr
Ste 200
Benton, AR 72015
Phone (501) 776-6670

Networks

  • devoted network organization-312996e8-0395-4844-8713-25a9dcc210ca

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Saline County Medical Center Joint Venture LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
DSB Acquisition LLC Organization, New York, NY LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 51%
Saline County Medical Center Organization, Benton, AR Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 49%
Lifepoint Health Inc Organization, Brentwood, TN For-profit 5% Or Greater Indirect Ownership Interest Nov 16, 2018 51%
Charline Boulch Individual Operational/Managerial ControlFacility Ceo Feb 17, 2025
Marcus B Poppell Individual Corporate OfficerVice President Nov 16, 2018
William Ziesmer Individual Corporate OfficerCfo Feb 12, 2024
Charlotte E Lawrence Individual Corporate OfficerSecretary Jan 21, 2022
Capella Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 51%
Capella Healthcare LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 51%
Operational/Managerial Control Jul 1, 2016
John Michael Grooms Individual Corporate OfficerSenior Vice President and Treasurer Nov 16, 2018
Christopher J Monte Individual Corporate OfficerVice President Nov 16, 2018
Jennifer Alderfer Individual Corporate OfficerPresident Oct 30, 2023
Saline County Medical System Organization, Benton, AR Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 49%
Lima Holdco LLC Organization, Brentwood, TN LLC, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Dec 23, 2021 51%
Capella Health Holdings LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2016 51%

Facilities with the same owner 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1013091925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6000",
            "fax_number": "501-776-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK DR",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153353",
            "telephone_number": "501-776-6000",
            "fax_number": "501-776-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-920-7000"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AR",
            "license": "710772959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalrecords@smhar.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1 Medical Park Dr",
            "city": "Benton",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720153353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Saline Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saline Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

Verify at the official NPI Registry.