Organization Active NPI

CHI St Vincent Hospital Hot Springs

  • Mammography Clinic/Center
  • Hot Springs, AR
National Provider Identifier
1184828188
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
AR4058 Issued in AR
Legal business name
CHI ST VINCENT HOSPITAL HOT SPRINGS
Practice address
300 Werner St
Hot Springs, AR 71913-6406
Phone
(501) 622-4565
Fax
(501) 622-1199
NPI assigned
Jun 13, 2007
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Mr. Tadd Richert
Title
Executive VP and Cfo
Phone
(501) 522-3912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X AR4058 AR Primary

Addresses

Primary practice location

300 Werner St
Hot Springs, AR 71913-6406

Mailing address

PO Box 29001
Hot Springs, AR 71903-9001
Phone (501) 622-4565

Other identifiers 1

IdentifierTypeStateIssuer
770032305MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1184828188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29001",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719039001",
            "telephone_number": "501-622-4565",
            "fax_number": "501-622-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WERNER ST",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136406",
            "telephone_number": "501-622-4565",
            "fax_number": "501-622-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI ST VINCENT HOSPITAL HOT SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TADD",
        "authorized_official_title_or_position": "EXECUTIVE VP AND CFO",
        "authorized_official_telephone_number": "501-522-3912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "AR",
            "license": "AR4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770032305",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.