Active NPI
Crittenden Hospital Association,Inc
- Home Health Agency
- West Memphis, AR
National Provider Identifier
1346287133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR4087
- Legal business name
- CRITTENDEN HOSPITAL ASSOCIATION,INC
- Practice address
- 200 W Tyler Ave
West Memphis, AR 72301-4223 - Phone
- (870) 358-4018
- Fax
- (870) 358-4027
- NPI assigned
- Jun 1, 2006
- Organization subpart
- Yes
- Parent organization
- CRITTENDEN HOSPITAL ASSOCIATION,INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eugene K Cashman III
- Title
- Ceo
- Phone
- (870) 735-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4087 | AR | Primary |
Addresses
Primary practice location
200 W Tyler Ave
West Memphis, AR 72301-4223
Mailing address
107 Nathan St
Marked Tree, AR 72365-1447
Phone (870) 358-4018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126172514 | Medicaid | AR | |
| 17145 | Other | AR | BLUE CROSS BLUE SHIELD |
Other names 1
- Crittenden Regional Hospital Home Health-Marked Tree
National Provider Directory
National Provider Directory- Part of
- Crittenden Emerg Care
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1346287133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 NATHAN ST",
"city": "MARKED TREE",
"state": "AR",
"postal_code": "723651447",
"telephone_number": "870-358-4018",
"fax_number": "870-358-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W TYLER AVE",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014223",
"telephone_number": "870-358-4018",
"fax_number": "870-358-4027"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENDEN HOSPITAL ASSOCIATION,INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRITTENDEN HOSPITAL ASSOCIATION,INC",
"enumeration_date": "2006-06-01",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "CASHMAN",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-735-1500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR4087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "126172514",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "17145",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crittenden Regional Hospital Home Health-Marked Tree",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Memphis, AR
- Crittenden Hospital Association
- Crittenden Hospital Association
- Crittenden Hospital Association
- Crittenden Hospital Association, Inc
- Crittenden Hospital Association, Inc
- Crittenden Memorial Hospital
- Crittenden Memorial Hospital
- Crittenden Physician Services LLC
- Crossroads Treatment Center of West Memphis, PC
- Cuffie Healthcare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.