Organization Active NPI

Drew County Memorial Hospital

  • General Acute Care Hospital
  • Monticello, AR
National Provider Identifier
1285641258
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
07012884001 Issued in AR
Legal business name
DREW COUNTY MEMORIAL HOSPITAL
Practice address
778 Scogin Dr
Monticello, AR 71655-5729
Phone
(870) 367-2411
NPI assigned
Aug 2, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
DREW COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Vonda K Russell
Title
Business Office Director
Phone
(870) 460-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 07012884001 AR Primary

Addresses

Primary practice location

778 Scogin Dr
Monticello, AR 71655-5729

Mailing address

778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 367-2411

National Provider Directory

National Provider Directory
Part of
Drew Memorial Emergency

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1285641258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREW COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "VONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "870-460-3514"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "07012884001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.