Fulton County Hospital
Organization Active NPI Emergency Medicine Physician · Salem, AR
NPI 1225115264 · NPPES record last updated Feb 6, 2024
Key facts
- NPI
- 1225115264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- AR4230 (AR)
- Legal business name
- FULTON COUNTY HOSPITAL
- Practice address
- 679 North Main
Salem, AR 72576 - Phone
- (870) 895-2691
- Fax
- (870) 895-3306
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Debra Henry
- Title
- Cfo
- Phone
- (870) 508-1003
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Fulton Co Hosp Physicia
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | AR4230 | AR | Yes |
Addresses
Primary practice location
679 North Main
Salem, AR 72576
Mailing address
679 North Main
Salem, AR 72576
Phone (870) 895-2691
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540934007 | Medicaid | MO |
Other providers in Salem, AR
- Casey Duncan
- Fcnrc, Inc.
- Fulton Co Hospital Home Health
- Fulton Co Hospital Home Health
- Fulton County Hospital
- Fulton County Hospital
- Fulton County Hospital
- Fulton County Hospital
- Fulton County Hospital
- Fulton County Hospital
All providers in Salem, AR · Emergency Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.