Siloam Springs Memorial Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

54 Issued in AR

Legal business name

SILOAM SPRINGS MEMORIAL HOSPITAL

Practice address

205 E Jefferson St
Siloam Springs, AR 72761-3629

Phone

(479) 524-4141

Fax

(479) 549-2645

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Penny McClain

Title

Chief Executive Officer

Phone

(479) 549-2402

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265430508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E JEFFERSON ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613629",
            "telephone_number": "479-524-4141",
            "fax_number": "479-549-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM SPRINGS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "479-549-2402",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FACILITY",
            "identifier": "10001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PHYSICIANS",
            "identifier": "56886",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siloam Springs Clinic Company LLC
• Siloam Springs Clinic Company, LLC
• Siloam Springs Dental Care PLLC
• Siloam Springs Internal Medicine Clinic, PLLC
• Siloam Springs Memorial Hospital
• Siloam Springs Memorial Hospital
• Siloam Springs Memorial Hospital
• Siloam Springs Memorial Hospital
• Siloam Springs School District
• Siloam Springs Women'S Center

• General Acute Care Hospital in Siloam Springs, AR
• Providers in Siloam Springs, 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 Aug 22, 2020; 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.