Active NPI
Drew County Memorial Hospital
- General Acute Care Hospital
- Monticello, AR
National Provider Identifier
1073516019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2870
- Legal business name
- DREW COUNTY MEMORIAL HOSPITAL
- Practice address
- 778 Scogin Dr
Monticello, AR 71655-5729 - Phone
- (870) 367-2411
- Fax
- (870) 460-3562
- NPI assigned
- May 23, 2005
- Last updated
- Jul 14, 2010
- Organization subpart
- Yes
- Parent organization
- DREW COUNTY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Layfield
- Title
- Ceo
- Phone
- (870) 460-3589
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 2870 | AR | Primary |
Addresses
Primary practice location
778 Scogin Dr
Monticello, AR 71655-5729
Mailing address
778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 367-2411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770087105 | Medicaid | AR | |
| 102158002 | Medicaid | AR | |
| 102127105 | Medicaid | AR | |
| 10051 | Other | AR | BLUE CROSS FACILITY |
National Provider Directory
National Provider Directory- Part of
- Drew Memorial Emergency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1073516019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "778 SCOGIN DR",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716555729",
"telephone_number": "870-367-2411",
"fax_number": "870-460-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 SCOGIN DR",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716555729",
"telephone_number": "870-367-2411",
"fax_number": "870-460-3562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREW COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DREW COUNTY MEMORIAL HOSPITAL",
"enumeration_date": "2005-05-23",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "LAYFIELD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-460-3589",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AR",
"license": "2870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "770087105",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102158002",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102127105",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS FACILITY",
"identifier": "10051",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, AR
- Jacob Parrish Dorman, PT, DPT, GCS
- Tracie Doshier
- Dr. James L. Price, Jr. (James L Price, Jr)
- Dr. Ricky Ferguson Vision Center PA
- Drew Central School District
- Drew County Memorial Hospital (Drew Memorial Anesthesia Services)
- Drew County Memorial Hospital
- Drew County Memorial Hospital
- Drew County Memorial Hospital (Drew Memorial Hospital Home Health Agency)
- Drew County Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.