Organization Active NPI

Unity Health - Jacksonville

  • Psychiatric Hospital
  • Jacksonville, AR
National Provider Identifier
1245954460
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
UNITY HEALTH - JACKSONVILLE
Practice address
1400 Braden St
Jacksonville, AR 72076-3721
Phone
(501) 453-5002
NPI assigned
Sep 30, 2022
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Ramona Staton
Title
Interim Administrator
Phone
(501) 453-5003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1400 Braden St
Jacksonville, AR 72076-3721

Mailing address

1400 Braden St
Jacksonville, AR 72076-3721
Phone (501) 453-5002

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221228001966 AR Part A Provider - Hospital 8325418882 Practice locations: Jacksonville, AR
O20240327004098 AR Part B Supplier - Clinic/Group Practice 8325418882 Receives reassigned benefits from 37 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245954460. Details of each certification follow.

Hospital certification: CCN 040164

Legal name
UNITY HEALTH - JACKSONVILLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 9, 2023
Last certification
Jun 9, 2023
Beds
24
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 11, 2021 in AR
Enrollment address
1400 Braden St
Jacksonville, AR 72076-3721
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Unity Health - JacksonvilleCCN 040164 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Kevin Burton Individual W-2 Managing EmployeeAdministrator Jul 1, 2021 100%
Operational/Managerial ControlAdministrator Jul 1, 2021 100%
Janet Hines Individual Corporate DirectorChairman of the Board of Directors Apr 1, 2017
Nathan Rutledge Individual Corporate DirectorBoard of Directors Sec/Treas Nov 1, 2019
White County Medical Center Organization, Searcy, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Mar 11, 2021 100%
Leah Miller Individual Corporate DirectorVice Chairman of Board of Directors Sep 1, 2013

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 63

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1245954460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-453-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763721",
            "telephone_number": "501-453-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH - JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "INTERIM ADMINISTRATOR",
        "authorized_official_telephone_number": "501-453-5003"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

Verify at the official NPI Registry.