NPIMap

Organization Active NPI

Dardanelle Community Hospital LLC

Doing business as River Valley Medical Center

  • Anesthesiology Physician
  • Dardanelle, AR
National Provider Identifier
1013123934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
AR3750 Issued in AR
Legal business name
DARDANELLE COMMUNITY HOSPITAL LLC
Doing business as
River Valley Medical Center
Practice address
200 North Third Street
Dardanelle, AR 72834
Phone
(479) 229-4677
Fax
(479) 229-6162
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sondra Wear
Title
Cfo
Phone
(479) 229-4677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X AR3750 AR Primary

Addresses

Primary practice location

200 North Third Street
Dardanelle, AR 72834

Mailing address

PO Box 578
Dardanelle, AR 72834-0578
Phone (479) 229-4677

Other names 1

  • RIVER VALLEY MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013123934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728340578",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH THIRD STREET",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "72834",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARDANELLE COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEAR",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-229-4677"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "AR3750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dardanelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.