NPIMap

Organization Active NPI

Booneville Community Hospital, Inc.

  • Critical Access Hospital
  • Booneville, AR
National Provider Identifier
1073518593
Registry record updated Mar 4, 2013
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, INC.
Practice address
880 W Main
Booneville, AR 72927
Phone
(479) 675-2800
Fax
(479) 675-3406
NPI assigned
Jun 21, 2005
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
James C. Fields
Title
Chairman
Phone
(479) 675-2800

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4155 AR
Home Health Agency 251E00000X AR4627 AR
Rural Health Clinic/Center 261QR1300X NU
Psychiatric Hospital Unit 273R00000X NU
Medicare Defined Swing Bed Hospital Unit 275N00000X NU
Critical Access Hospital 282NC0060X AR4154 AR Primary

Addresses

Primary practice location

880 W Main
Booneville, AR 72927

Mailing address

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

Other identifiers 14

IdentifierTypeStateIssuer
11318OtherARBC HOSPITAL
150115732MedicaidAR
150119752MedicaidAR
195067729MedicaidAR
150114514MedicaidAR
DB4073OtherRAILROAD MEDICARE PIN
150116765MedicaidAR
770002005MedicaidAR
150214002MedicaidAR
154911729MedicaidAR
150111105MedicaidAR
150084757MedicaidAR
17171OtherARBC HHA
136520001MedicaidAR

Other names 1

  • Booneville Community Hospital Other name

National Provider Directory

National Provider Directory

Locations

418 E Main St
Charleston, AR 72933
Phone (479) 965-0194

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1073518593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 290",
            "address_2": "880 W. MAIN",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W MAIN",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "72927",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "479-675-2800"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4155",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4627",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HOSPITAL",
            "identifier": "11318",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150115732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150119752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195067729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150114514",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DB4073",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150116765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770002005",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150214002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154911729",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150111105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150084757",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC HHA",
            "identifier": "17171",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136520001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Booneville Community Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 4, 2013; 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.