Crittenden Hospital Association

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

2986 Issued in AR

Legal business name

CRITTENDEN HOSPITAL ASSOCIATION

Practice address

200 W Tyler Ave
West Memphis, AR 72301-4223

Phone

(870) 735-1500

Fax

(870) 732-7714

NPI assigned

Jul 3, 2006

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Dana Smith

Title

Patient Financial Services Director

Phone

(870) 735-1500

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1235169822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2248",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723032248",
            "telephone_number": "870-735-1500",
            "fax_number": "870-732-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014223",
            "telephone_number": "870-735-1500",
            "fax_number": "870-732-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "PATIENT FINANCIAL SERVICES DIRECTOR",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "2986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "770006505",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101932105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crittenden Cares, Inc (Procare)
• Crittenden Cares, Inc (Crittenden Physician Services)
• Crittenden Cares, Inc. (Crittenden Professional Services)
• Crittenden Emergency Group LLC
• Crittenden EMS LLC
• Crittenden Hospital Association (Crittenden Regional Hospital Home Health-West Memphis)
• Crittenden Hospital Association (Mid-South Women's Clinic)
• Crittenden Hospital Association (Mid-South Minor Medical and Primary Care)
• Crittenden Hospital Association (Crittenden Regional Women's Clinic)
• Crittenden Hospital Association

• General Acute Care Hospital in West Memphis, AR
• Providers in West Memphis, AR by specialty
• General Acute Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.