Organization Active NPI

Rebsamen Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Jacksonville, AR
National Provider Identifier
1215047121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
AR3795 Issued in AR
Legal business name
REBSAMEN MEDICAL CENTER, INC.
Practice address
1400 Braden St
Jacksonville, AR 72076-3721
Phone
(501) 985-7000
Fax
(501) 985-7264
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Landrum
Title
Interim Ceo
Phone
(501) 985-7035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X AR3795 AR Primary

Addresses

Primary practice location

1400 Braden St
Jacksonville, AR 72076-3721

Mailing address

1400 Braden St
Jacksonville, AR 72076-3721
Phone (501) 985-7000

Other identifiers 1

IdentifierTypeStateIssuer
1T074OtherARBLUE CROSS PROVIDER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215047121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-985-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-985-7000",
            "fax_number": "501-985-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBSAMEN MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "501-985-7035"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "AR",
            "license": "AR3795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "1T074",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.