NPIMap

Organization Active NPI

Crossett Health Foundation

Doing business as Ashley Health Services

  • Pediatrics Physician
  • Crossett, AR
National Provider Identifier
1174608012
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CROSSETT HEALTH FOUNDATION
Doing business as
Ashley Health Services
Practice address
1003 Fred Lagrone Dr
Crossett, AR 71635-4546
Phone
(870) 364-9519
Fax
(870) 304-2156
NPI assigned
Oct 26, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Shirley White
Title
HR Director
Phone
(870) 364-1272

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X

Addresses

Primary practice location

1003 Fred Lagrone Dr
Crossett, AR 71635-4546

Mailing address

PO Box H
Crossett, AR 71635-1808
Phone (870) 364-9519

Other identifiers 1

IdentifierTypeStateIssuer
145980002MedicaidAR

Other names 1

  • Ashley Health Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100804000041 AR Part B Supplier - Clinic/Group Practice 9133030117 Receives reassigned benefits from 6 practitioners
Practice locations: Crossett, AR

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ashley Memorial Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Interoperability endpoints

  • Direct secure messaging: admin@acmconline.e-mdsdirect.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ashley County Medical CenterCrossett, AR, CCN 041323 Hospital 5% Or Greater Direct Ownership Interest Aug 1, 1945
Ashley County Medical CenterCrossett, AR, CCN 04Z323 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1998
Ashley Health ServicesCrossett, AR, CCN 043490 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control (100%)		 Dec 1, 2001
Dec 1, 2001
Hamburg Health ClinicHamburg, AR, CCN 048501 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2012

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1174608012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716351808",
            "telephone_number": "870-364-9519",
            "fax_number": "870-304-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 FRED LAGRONE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354546",
            "telephone_number": "870-364-9519",
            "fax_number": "870-304-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSETT HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "870-364-1272"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145980002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossett, AR

Sources for this page

Verify at the official NPI Registry.