Mena Hospital Commission
Organization Active NPI Rural Acute Care Hospital · Mena, AR
NPI 1285739581 · NPPES record last updated Mar 21, 2016
Key facts
- NPI
- 1285739581
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- License
- AR4321 (AR)
- Legal business name
- MENA HOSPITAL COMMISSION
- Practice address
- 311 N Morrow
Mena, AR 71953-2516 - Phone
- (479) 394-6100
- Fax
- (479) 394-4577
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Gayla Crowley
- Title
- Director Revenue Cycle
- Phone
- (479) 243-2239
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 6
Practitioners 23
-
Steven P Forrest, M.D.
-
Doris Jean Hastey, PMH-APRN-BC
-
Fayz A Hudefi, MD
-
Jonathan Carl Welsh, M.D.
-
Pyke Bobo, CRNA
-
Blake A Little, M.D.
-
Jerold Benjamin Campbell, CRNA
-
Lori D Fortner, APRN
-
David Henderson, M.D.
-
John D Mesko, M.D.
-
Patrick J. Fox, MD
-
Olivia Bayne, APRN FNP-C
-
Sydney Ford, MSN, APRN, FNP-C
-
Zachary T Mesko, CRNA
-
Emily Elizabeth Turner, APRN
-
Mark C Hamelink, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040512000557 | AR | Part B Supplier - Clinic/Group Practice | 8527057678 |
Receives reassigned benefits from 15 practitioners 1 other NPI on this enrollment Practice locations: Mena, AR |
National Provider Directory
- Tax ID family
- Mena Medical Center
Locations
1102 Crestwood Cir
Mena, AR 71953
Phone (479) 234-4433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | AR4321 | AR | Yes |
Addresses
Primary practice location
311 N Morrow
Mena, AR 71953-2516
Mailing address
311 N Morrow
Mena, AR 71953-2516
Phone (479) 394-6100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10015 | Other | AR | BLUE CROSS BLUE SHEILD |
Other names
- Mena Regional Health System
Other providers in Mena, AR
- Mena Heart and Vascular Clinic
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
- Mena Hospital Commission
All providers in Mena, AR · Rural Acute Care Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.