NPIMap

Organization Active NPI

Dardanelle Community Hospital LLC

Doing business as River Valley Medical Center

  • Critical Access Hospital
  • Dardanelle, AR
National Provider Identifier
1235344409
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR3750 Issued in AR
Legal business name
DARDANELLE COMMUNITY HOSPITAL LLC
Doing business as
River Valley Medical Center
Practice address
200 North Third Street
Dardanelle, AR 72834
Phone
(479) 229-4677
Fax
(479) 229-6162
NPI assigned
May 11, 2007
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Sondra D Wear
Title
Cfo
Phone
(479) 229-4677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR3750 AR Primary

Addresses

Primary practice location

200 North Third Street
Dardanelle, AR 72834

Mailing address

PO Box 578
Dardanelle, AR 72834-0578
Phone (479) 229-4677

Other identifiers 1

IdentifierTypeStateIssuer
165429105MedicaidAR

Other names 1

  • RIVER VALLEY MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1235344409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728340578",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH THIRD STREET",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "72834",
            "telephone_number": "479-229-4677",
            "fax_number": "479-229-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARDANELLE COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WEAR",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "479-229-4677"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR3750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165429105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVER VALLEY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dardanelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.