Crittenden Hospital Association

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CRITTENDEN HOSPITAL ASSOCIATION

Practice address

310 Judge Smith Dr
Marion, AR 72364-2220

Phone

(870) 735-1500

Fax

(870) 732-7711

NPI assigned

Aug 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. James R Carter

Title

Ceo

Phone

(870) 735-1500

Specialties & licenses 1

Addresses

Other names 1

• Mid-South Internal Medicine Doing business as

Locations

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1194958249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 TYLER ST",
            "address_2": "SUITE 305",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-735-1500",
            "fax_number": "870-732-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 JUDGE SMITH DR",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642220",
            "telephone_number": "870-735-1500",
            "fax_number": "870-732-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-South Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kimberly Dawne Crutchfield, MHPP
• Anthony Cunningham, MHPP

• All providers in Marion, AR
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.