Drew Memorial Hospital, Inc.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

DREW MEMORIAL HOSPITAL, INC.

Doing business as

Drew Anesthesia

Practice address

778 Scogin Dr
Monticello, AR 71655-5729

Phone

(870) 367-2411

Fax

(952) 442-3620

NPI assigned

Aug 15, 2012

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

DREW MEMORIAL HOSPITAL, INC.As reported in NPPES

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

Authorized official

Name

Shannon Clark

Title

Cfo

Phone

(870) 367-2411

Specialties & licenses 1

Addresses

Other names 1

• Drew Anesthesia Doing business as

Part of

Drew Memorial Hospital Inc

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1184972663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 10TH ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553874552",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREW MEMORIAL HOSPITAL, INC.",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-367-2411"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drew Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drew Memorial Hospital, Inc
• Drew Memorial Hospital, Inc
• Drew Memorial Hospital, Inc
• Drew Memorial Hospital, Inc
• Drew Memorial Hospital, Inc.
• Drew Memorial Hospital, Inc. (Drew Memorial Reference Lab)
• Drew Memorial Hospital, Inc.
• Drew Operations, LLC (Belle View Estates Rehabilitation and Care Center)
• Drew Professional Services
• Drew Professional Services LLC

• Certified Registered Nurse Anesthetist in Monticello, AR
• Providers in Monticello, AR by specialty
• Certified Registered Nurse Anesthetist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.