NPIMap

Organization Active NPI

Booneville Community Hospital

  • Critical Access Hospital
  • Booneville, AR
National Provider Identifier
1013941806
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR4154 Issued in AR
Legal business name
BOONEVILLE COMMUNITY HOSPITAL
Practice address
880 W. Main St.
Booneville, AR 72927
Phone
(479) 675-2800
Fax
(479) 675-2881
NPI assigned
Jul 10, 2006
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
Mr. Robin Calvin Robertson
Title
Cfo
Phone
(479) 675-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR4154 AR Primary

Addresses

Primary practice location

880 W. Main St.
Booneville, AR 72927

Mailing address

880 W. Main Street
P.O. Box 290
Booneville, AR 72927
Phone (479) 675-2800

National Provider Directory

National Provider Directory
Tax ID family
Booneville Community Ho2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013941806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W. MAIN STREET",
            "address_2": "P.O. BOX 290",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W. MAIN ST.",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-675-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, 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.