NPIMap

Organization Active NPI

St. Anthony'S Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Morrilton, AR
National Provider Identifier
1215089602
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
AR4313 Issued in AR
Legal business name
ST. ANTHONY'S HOSPITAL ASSOCIATION
Practice address
4 Hospital Dr
Morrilton, AR 72110-4510
Phone
(501) 977-2300
Fax
(501) 977-2256
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Christy Hockaday
Title
Administrator/Ceo
Phone
(501) 977-2413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AR4313 AR Primary

Addresses

Primary practice location

4 Hospital Dr
Morrilton, AR 72110-4510

Mailing address

4 Hospital Dr
Morrilton, AR 72110-4510
Phone (501) 977-2300

Other identifiers 1

IdentifierTypeStateIssuer
11324OtherARSWING BED

Other names 1

  • St. Vincent Morrilton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070123000155 AR Part A Provider - Critical Access Hospital 4082516554 Practice locations: Morrilton, AR

Hospital certification: CCN 04Z324

Legal name
ST ANTHONYS HOSPITAL ASSOCIATION
Doing business as
ST. VINCENT MORRILTON
Organization structure
CorporationNon-profit
Incorporated
Dec 20, 2006 in AR
Enrollment address
4 Hospital Drive
St. Vincent Morrilton
Morrilton, AR 72110-4510
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
St Anthony'S Hospital a8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 25

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Hegeman Individual Corporate Director Jul 1, 2023
Matthew L Law Individual Corporate Director Jan 1, 2024
Doug Lawson Individual Corporate Officer Aug 1, 2024
Corporate Director Aug 1, 2024
Carey Ruff Individual Corporate Director Jul 1, 2021
Commonspirit Health Organization, Englewood, CO Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 15, 2019 100%
Operational/Managerial Control Oct 7, 1996 100%
Barbara Williams Individual Corporate Director Jul 1, 2016
Garrett Stewart Individual W-2 Managing Employee Oct 3, 2022
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerPresident Jul 1, 2025
Judith Raley Individual Corporate Director Jul 1, 2017
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Chad S Aduddell Individual Corporate OfficerMarket President-Arkansas Aug 20, 2012
Corporate DirectorMarket President-Arkansas Aug 20, 2012
Operational/Managerial ControlMarket President-Arkansas Aug 20, 2012
Susan Smith Individual Corporate Director Jul 1, 2016
Bart Newman Individual Corporate Director Jul 1, 2014
Jean Block Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
William Dillard Individual Corporate Director Dec 1, 2012
Michael W Cottrell Individual Corporate Director Jul 1, 2023
Frederick a Meadors Individual Corporate Director Jul 1, 2024
Clayton Douglas Borg Individual Corporate Director Jan 1, 2024
Richard Harrod Blank Individual Corporate Director Jul 1, 2023
Angie Longing Individual W-2 Managing Employee Sep 13, 2004
Cynthia Dunlap Individual Corporate Director Aug 5, 2021
Nessa J McCollum-Flaxman Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Joshua Szostek Individual Corporate OfficerMarket Cfo-Arkansas Aug 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1215089602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANTHONY'S HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "HOCKADAY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "501-977-2413"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AR",
            "license": "AR4313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SWING BED",
            "identifier": "11324",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Vincent Morrilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrilton, AR

Sources for this page

Verify at the official NPI Registry.