North Arkansas Regional Medical Center
Organization Active NPI Land Ambulance · Harrison, AR
NPI 1013907682 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1013907682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- AR3203 (AR)
- Legal business name
- NORTH ARKANSAS REGIONAL MEDICAL CENTER
- Practice address
- 1000 N Main St
Harrison, AR 72601 - Phone
- (870) 414-4000
- NPI assigned
- Oct 25, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- NORTH ARKANSAS REGIONAL MEDICAL CENTER
Authorized official
- Name
- Mrs. Andrea Smith
- Title
- VP Finance/Cfo
- Phone
- (870) 414-5157
Owners & managing parties with NPI records 2
-
Ross Eddington Halsted, M.D.
-
Thomas Brent Rosson Jr., M.D.
Other NPIs on the same Medicare enrollment 1
Related certifications (CCN) 1
Affiliated clinicians 271
-
Zubair Ahmed, M.D.
-
Stacy L Armstrong, D.O.
-
Victor M. Armstrong, D.O.
-
Christopher Allen Arnold, M.D.
-
Eric Allen Arp, DPM
-
Makaya Rhea Baker, APRN-CRNA
-
Todd F Baker, MD
-
Cherisse Melissa Baldeo, M.D.
-
Raymond L. Bandy, MD
-
Brandi Marie Barnes, APN
-
Chrissie L Bell, APRN
-
Kerry Lee Blair, CRNA
-
Travis L Bowen, M.D.
-
Kevin Drake Branch, M.D.
-
Evan Branscum, MD
-
Elisabeth Brown, NP
-
Shannon H Brownfield, M.D.
Medicare Care Compare: Hospital
- Listed as
- North Arkansas Regional Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Hospital certification: CCN 040017
- Legal name
- NORTH ARKANSAS REGIONAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 30, 2019
- Beds
- 174
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Dec 30, 1996 in AR
- Enrollment address
- 620 N Main St
Harrison, AR 72601-2911 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Ross E Halsted |
Corporate Director |
Jan 1, 2024 | |
| Daniel Bowers |
Corporate Director |
Apr 1, 2008 | |
| Thomas B Rosson |
Corporate Director |
Jan 1, 2023 | |
| Sammie Cribbs Roberson |
Corporate Director |
Jan 1, 2024 | |
| W-2 Managing Employee |
Jan 1, 2023 | ||
| Larry Phillips |
Corporate Director |
Jan 1, 2024 | |
| Andrea Smith |
Corporate Director |
Feb 1, 2024 | |
| W-2 Managing Employee |
Feb 1, 2024 | ||
| Ken Milburn |
Corporate Director |
Jan 1, 2022 | |
| Stephen Beeler |
Corporate Director |
Jan 1, 2022 | |
| Kirk Campbell |
Corporate Director |
Jan 1, 2022 | |
| Sherri Billings |
Corporate Director |
Jan 1, 2022 | |
| David O'Neal |
Corporate Director |
Jan 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070330000445 | AR | Part a Provider - Hospital | 5193615896 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Harrison, AR; Berryville, AR |
National Provider Directory
- Part of
- David a Stills
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AR4480 | AR | |
| Land Ambulance | 3416L0300X | AR3203 | AR | Yes |
Addresses
Primary practice location
1000 N Main St
Harrison, AR 72601
Mailing address
PO Box 1500
Harrison, AR 72602-2911
Phone (870) 414-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808268007 | Medicaid | MO | |
| 131317715 | Medicaid | AR |
Other names
- EMERGENCY MEDICAL SERVICE PRO FEE
Other providers in Harrison, AR
- Ashley Nordin
- Eva Laynette Norris
- North Arkansas Counseling Foundation
- North Arkansas Ear Nose and Throat PA
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
- North Arkansas Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.