Northwest Arkansas Hospitals LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NORTHWEST ARKANSAS HOSPITALS LLC

Doing business as

Northwest Medical Center

Practice address

609 W Maple Ave
Springdale, AR 72764-5335

Phone

(479) 751-5711

Fax

(479) 757-2908

NPI assigned

Aug 22, 2006

Last updated

Jun 5, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST ARKANSAS HOSPITALS LLCAs reported in NPPES

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

Authorized official

Name

Debbie Brewer

Title

Director of Provider Enrollment

Phone

(615) 465-7626

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Northwest Medical Center Doing business as

Part of

Northwest Arkansas Hospitals LLC

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1316053242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840448",
            "telephone_number": "479-684-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-751-5711",
            "fax_number": "479-757-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ARKANSAS HOSPITALS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST ARKANSAS HOSPITALS LLC",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167713002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Northwest Arkansas Hospitals LLC (Northwest Senior Health Centers)
• Northwest Arkansas Hospitals LLC (Northwest Medical Center)
• Northwest Arkansas Hospitals LLC (Northwest Medical Center)
• Northwest Arkansas Hospitals, LLC (Northwest Medical Center-Springdale)
• Northwest Arkansas Hospitals, LLC (Northwest Medical Center)
• Northwest Arkansas Hospitals, LLC (Northwest Medical Center)

• Cardiovascular Disease Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Cardiovascular Disease Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.