Active NPI
QHG of Springdale Inc
- Home Health Registered Nurse
- Springdale, AR
National Provider Identifier
1194732149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- AR4234
- Legal business name
- QHG OF SPRINGDALE INC
- Practice address
- 409 W Maple Ave
Springdale, AR 72764-5333 - Phone
- (479) 751-1601
- Fax
- (479) 750-6501
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn A Barnett
- Title
- Ceo
- Phone
- (479) 757-4011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | AR4234 | AR | Primary |
Addresses
Primary practice location
409 W Maple Ave
Springdale, AR 72764-5333
Mailing address
409 W Maple Ave
Springdale, AR 72764-5333
Phone (479) 751-1601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136145514 | Medicaid | AR | |
| 17020 | Other | AR | BCBS |
| 13625742 | Medicaid | AR |
Other names 1
- Communities Home Health
National Provider Directory
National Provider Directory- Tax ID family
- Northwest Internal Medi
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Springdale, AR
- NPI 1669683033
-
- Clinic/Center
- Bentonville, AR
- NPI 1750334066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1194732149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645333",
"telephone_number": "479-751-1601",
"fax_number": "479-750-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645333",
"telephone_number": "479-751-1601",
"fax_number": "479-750-6501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QHG OF SPRINGDALE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "BARNETT",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "479-757-4011"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": "AR",
"license": "AR4234",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "136145514",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "17020",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13625742",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Communities Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.