Northwest Arkansas Hospitals LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

AR4353 Issued in AR

Legal business name

NORTHWEST ARKANSAS HOSPITALS LLC

Practice address

2422 N Thompson St
Suite 104
Springdale, AR 72764-1757

Phone

(479) 757-4000

Fax

(479) 757-2908

NPI assigned

Jul 18, 2006

Organization subpart

Yes

Parent organization

NORTHWEST ARKANSAS HOSPITALS LLCAs reported in NPPES

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

Authorized official

Name

Rebecca Hurley

Title

Senior Vice President

Phone

(214) 473-3993

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Northwest Senior Health Centers Doing business as

Part of

Northwest Senior Health Ctr

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northwest Arkansas Hospitals, LLC

  • General Acute Care Hospital
  • Springdale, AR
  • NPI 1699726695

  Member Of

  NPD member

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1073531950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840448",
            "telephone_number": "479-757-4000",
            "fax_number": "479-757-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 N THOMPSON ST",
            "address_2": "SUITE 104",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641757",
            "telephone_number": "479-757-4000",
            "fax_number": "479-757-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS HOSPITALS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ARKANSAS HOSPITALS LLC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "214-473-3993"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AR",
            "license": "AR353",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "AR4353",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AR",
            "license": "AR4353",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "AR4353",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "AR4353",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "AR",
            "license": "AR4353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Senior Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Renee Norris, RN
• North Arkansas Regenerative Medicine LTD.
• Northport Health Services of Arkansas, LLC
• Northwest Arkansas Clinic for Families, Inc
• Northwest Arkansas Counseling Inc
• Northwest Arkansas Hospitals LLC
• Northwest Arkansas Hospitals LLC
• Northwest Arkansas Hospitals LLC
• Northwest Arkansas Hospitals, LLC
• Northwest Arkansas Hospitals, LLC

• Geriatric Medicine (Internal Medicine) Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Geriatric Medicine (Internal Medicine) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.