NPIMap

Organization Active NPI

Ouachita County Medical Center

  • Rural Acute Care Hospital
  • Camden, AR
National Provider Identifier
1245284769
Registry record updated Oct 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
2653 Issued in AR
Legal business name
OUACHITA COUNTY MEDICAL CENTER
Practice address
638 California Ave SW
Camden, AR 71701-4604
Phone
(870) 836-1000
Fax
(870) 836-1358
NPI assigned
May 20, 2006
Last updated
Oct 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2007

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

Authorized official

Name
Mr. Robert J Anders
Title
Cfo
Phone
(870) 836-1387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2653 AR Primary

Addresses

Primary practice location

638 California Ave SW
Camden, AR 71701-4604

Mailing address

PO Box 797
Camden, AR 71711-0797

Other identifiers 1

IdentifierTypeStateIssuer
010050OtherARBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060830000451 AR Part A Provider - Hospital 4587641055 Practice locations: Camden, AR
O20260311000012 AR Part A Provider - Rural Emergency Hospital (Reh) 4587641055

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245284769. Details of each certification follow.

Hospital certification: CCN 040784

Legal name
OUACHITA COUNTY MEDICAL CENTER
Organization structure
CorporationNon-profit
Enrollment address
638 California Ave SW
Camden, AR 71701-4604

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory

Locations

685 California Ave SW
Camden, AR 71701
Phone (870) 836-6055

104 W Taylor St
Sparkman, AR 71763
Phone (870) 678-2226

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Shannon L Parker Individual Corporate OfficerSecretary Mar 15, 2026 10%
Carolyn Diane Isaacs Individual Corporate OfficerVice President Mar 15, 2026 10%
Corporate DirectorVice President Mar 15, 2026 10%
W-2 Managing EmployeeVice President Mar 15, 2026 10%
Operational/Managerial ControlVice President Mar 15, 2026 10%
Christopher L Abbott Individual W-2 Managing EmployeeAsst VP Finance Mar 15, 2026
Kenneth Frachiseur Individual Corporate DirectorTreasurer Mar 15, 2026 10%
W-2 Managing EmployeeChief Information Officer Mar 15, 2026 10%
Connie Castleberry Individual Corporate DirectorBoard Member Mar 15, 2026 25%
Glenda Harper Individual Corporate OfficerPresident/Ceo Aug 8, 2025 95%
Corporate DirectorPresident/Ceo Aug 8, 2025 95%
W-2 Managing EmployeeAd; Aug 8, 2025 95%
Operational/Managerial ControlPresident/Ceo Aug 8, 2025 95%
Jason Purifoy Individual Corporate DirectorBoard Member Mar 15, 2026 25%
Edgar Lee Individual Corporate DirectorBoard Member Mar 15, 2026 25%
John Dawson Individual Corporate DirectorChairman Mar 15, 2026 25%
Louise Hunter Individual Corporate DirectorBoard Member Mar 15, 2026 25%

Practitioners & affiliated clinicians

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 85

Affiliated clinicians 11

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1245284769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 797",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717110797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 CALIFORNIA AVE SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717014604",
            "telephone_number": "870-836-1000",
            "fax_number": "870-836-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUACHITA COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ANDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-836-1387",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AR",
            "license": "2653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010050",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AR

Sources for this page

Verify at the official NPI Registry.