NPIMap

Organization Active NPI

Delta Memorial Hospital

  • Psychiatric Hospital Unit
  • Dumas, AR
National Provider Identifier
1245568567
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
AR4392 Issued in AR
Legal business name
DELTA MEMORIAL HOSPITAL
Practice address
811 Highway 65 S
Dumas, AR 71639-3006
Phone
(870) 382-4303
Fax
(870) 382-6555
NPI assigned
Nov 24, 2009
Organization subpart
Yes
Parent organization
DELTA MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Authorized official

Name
Mrs. Cris Bolin
Title
Interim Administrator
Phone
(870) 382-4303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X AR4392 AR Primary

Addresses

Primary practice location

811 Highway 65 S
Dumas, AR 71639-3006

Mailing address

PO Box 887
Dumas, AR 71639-0887
Phone (870) 382-4303

Other names 1

  • Patients' Choice/Delta Memorial Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ryszarda M Hejmej MD9 organizations share this tax ID, including this one
Part of
Ryszarda M Hejmej MD

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1245568567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 887",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716390887",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 HIGHWAY 65 S",
            "city": "DUMAS",
            "state": "AR",
            "postal_code": "716393006",
            "telephone_number": "870-382-4303",
            "fax_number": "870-382-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DELTA MEMORIAL HOSPITAL",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "BOLIN",
        "authorized_official_first_name": "CRIS",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "870-382-4303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "AR",
            "license": "AR4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients' Choice/Delta Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.