Organization Active NPI

Saline Memorial Hospital Technical Services LLC

Doing business as Coulter Sleep Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Benton, AR
National Provider Identifier
1194027987
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
SALINE MEMORIAL HOSPITAL TECHNICAL SERVICES LLC
Doing business as
Coulter Sleep Center
Practice address
3 Medical Park Dr
Suite 301
Benton, AR 72015-3728
Phone
(501) 315-8818
Fax
(501) 315-8828
NPI assigned
Nov 30, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Larry Don Alford
Title
Cfo
Phone
(501) 776-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

3 Medical Park Dr
Suite 301
Benton, AR 72015-3728

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other identifiers 1

IdentifierTypeStateIssuer
199836OtherARAASM ACCREDITATION

Other names 1

  • Coulter Sleep Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1194027987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PARK DR",
            "address_2": "SUITE 301",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153728",
            "telephone_number": "501-315-8818",
            "fax_number": "501-315-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE MEMORIAL HOSPITAL TECHNICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "501-776-6000"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AASM ACCREDITATION",
            "identifier": "199836",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coulter Sleep Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.