NPIMap

Organization Active NPI

North Arkansas Regional Medical Center

Doing business as Emergency Medical Service Pro Fee

  • Land Ambulance
  • Harrison, AR
National Provider Identifier
1013907682
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AR3203 Issued in AR
Legal business name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Doing business as
Emergency Medical Service Pro Fee
Practice address
1000 N Main St
Harrison, AR 72601
Phone
(870) 414-4000
NPI assigned
Oct 25, 2005
Last updated
Oct 28, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH ARKANSAS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mrs. Andrea Smith
Title
VP Finance/Cfo
Phone
(870) 414-5157

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X AR4480 AR
Land Ambulance 3416L0300X AR3203 AR Primary

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 names 1

  • EMERGENCY MEDICAL SERVICE PRO FEE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013907682. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Dec 30, 1996 in AR
Enrollment address
620 N Main St
Harrison, AR 72601-2911
Hospital subgroups
General, Acute care

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
North Arkansas Regional Medical CenterCCN 040017 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Newton County Family PR

Locations

1000 N Main St
Harrison, AR 72601
Phone (870) 414-4000

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Ross E Halsted Individual Corporate DirectorBoard Member Jan 1, 2024
Daniel Bowers Individual Corporate DirectorBoard of Directors Apr 1, 2008
Thomas B Rosson Individual Corporate DirectorBoard Member Jan 1, 2023
Sammie Cribbs Roberson Individual Corporate DirectorPresident / Ceo Jan 1, 2024
W-2 Managing EmployeePresent / Ceo Jan 1, 2023
Larry Phillips Individual Corporate DirectorBoard Member Jan 1, 2024
Andrea Smith Individual Corporate DirectorCfo / VP of Finance Feb 1, 2024
W-2 Managing EmployeeCfo / VP of Finance Feb 1, 2024
Ken Milburn Individual Corporate DirectorBoard of Directors Jan 1, 2022
Stephen Beeler Individual Corporate DirectorBoard of Directors Jan 1, 2022
Kirk Campbell Individual Corporate DirectorBoard of Directors Jan 1, 2022
Sherri Billings Individual Corporate DirectorBoard of Directors Jan 1, 2022
David O'Neal Individual Corporate DirectorBoard of Directors Jan 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 271

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

View all 271

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1013907682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022911",
            "telephone_number": "870-414-4000",
            "fax_number": "870-414-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "72601",
            "telephone_number": "870-414-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH ARKANSAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "870-414-5157",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4480",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AR",
            "license": "AR3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGENCY MEDICAL SERVICE PRO FEE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.