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North Arkansas Regional Medical Center

Organization Active NPI Family Medicine Physician · Berryville, AR

NPI 1104357961 · NPPES record last updated Mar 6, 2025

Key facts

NPI
1104357961
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NORTH ARKANSAS REGIONAL MEDICAL CENTER
Practice address
408 Orchard Dr
Berryville, AR 72616-4320
Phone
(870) 423-2320
Fax
(870) 423-7431
NPI assigned
Mar 23, 2017
Organization subpart
Yes
Parent organization (as reported)
NORTH ARKANSAS REGIONAL MEDICAL CENTER

Authorized official

Name
Andrea Smith
Title
VP Financial Services/Cfo
Phone
(870) 414-4285

Other NPIs on the same Medicare enrollment 3

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

Corporate family (same tax ID) 26

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

View all 26

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2127186Narmc Physician'S Clinic of Berryville
408 Orchard Rd, Berryville, AR 72616		Certificate of waiverMar 9, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20091211000450 AR Part B Supplier - Clinic/Group Practice 5193615896 Receives reassigned benefits from 11 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berryville, AR; Harrison, AR; Jasper, AR

National Provider Directory

Tax ID family
David a Stills (27 organizations share this tax ID)
Part of
David a Stills

Locations

724 N Spring St
Ste A
Harrison, AR 72601
Phone (870) 365-0850

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

408 Orchard Dr
Berryville, AR 72616-4320

Mailing address

P O Box 2990
Harrison, AR 72602-2990
Phone (870) 414-4000

Other names

  • NARMC BERRYVILLE CLINIC Doing business as

Other providers in Berryville, AR

All providers in Berryville, AR · Family Medicine Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.