NPIMap

Organization Active NPI

State of Arkansas

Doing business as Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
National Provider Identifier
1295726156
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
88 Issued in AR
Legal business name
STATE OF ARKANSAS
Doing business as
Arkansas State Hospital
Practice address
305 S Palm St
Little Rock, AR 72205-5432
Phone
(501) 686-9000
Fax
(501) 683-3677
NPI assigned
Oct 31, 2005
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
James M Scoggins
Title
Ceo
Phone
(501) 686-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 88 AR Primary

Addresses

Primary practice location

305 S Palm St
Little Rock, AR 72205-5432

Mailing address

305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 686-9000

Other identifiers 1

IdentifierTypeStateIssuer
114301125MedicaidAR

Other names 1

  • Arkansas State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071207000576 AR Part A Provider - Hospital 6507863958 Practice locations: Little Rock, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295726156. Details of each certification follow.

Hospital certification: CCN 044011

Legal name
STATE OF ARKANSAS
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 15, 1987
Last certification
Jul 19, 2023
Beds
321
Ownership / control type
State
Organization structure
OtherNon-profit
Incorporated
in AR
Enrollment address
305 S Palm
Arkansas State Hospital
Little Rock, AR 72205-5432
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric, Other

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Arkansas State HospitalCCN 044011 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member organizations 76

Organizations listed as members of this organization in the National Provider Directory.

View all 76

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Charles Thomas Individual W-2 Managing EmployeeDeputy Chief Financial Officer Jun 26, 2024
State of Arkansas Organization, Little Rock, AR Non-profit Operational/Managerial Control Apr 13, 2022
James Scoggins Individual W-2 Managing EmployeeCeo Jul 1, 2020

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Arkansas Veterans Home at FayettevilleFayetteville, AR, CCN 045417 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 1, 2006
Arkansas State Veterans Home at North Little RockNorth Little Rock, AR, CCN 045462 Skilled nursing facility Other (100%) Jan 17, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

  • State of Arkansas

    dba Arkansas Veterans Home at Fayetteville

    • Skilled Nursing Facility
    • Fayetteville, AR
    • NPI 1417052895

    State of Arkansas

    CMS ownership

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1295726156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055432",
            "telephone_number": "501-686-9000",
            "fax_number": "501-683-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055432",
            "telephone_number": "501-686-9000",
            "fax_number": "501-683-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-686-9000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AR",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114301125",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.