NPIMap

Organization Active NPI

Five Rivers Medical Center Inc.

Doing business as Five Rivers Medical Center Professional Services

  • Hospitalist Physician
  • Pocahontas, AR
National Provider Identifier
1376845099
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
FIVE RIVERS MEDICAL CENTER INC.
Doing business as
Five Rivers Medical Center Professional Services
Practice address
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone
(870) 892-6000
Fax
(870) 892-8100
NPI assigned
Dec 1, 2010
Last updated
Aug 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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

Authorized official

Name
Randall Dewayne Barymon
Title
Ceo
Phone
(870) 892-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Mailing address

2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6000

Other names 1

  • Five Rivers Medical Center Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000471 AR Part B Supplier - Clinic/Group Practice 1456540194 Receives reassigned benefits from 67 practitioners
4 other NPIs on this enrollment
Practice locations: Pocahontas, AR

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
St. Bernards Five Rivers Medical CenterPocahontas, AR, CCN 04S047 Hospital Operational/Managerial Control (100%) Aug 23, 2007
St. Bernards Five Rivers Medical CenterPocahontas, AR, CCN 04U047 Hospital Operational/Managerial Control (100%) Aug 23, 2007
St. Bernards Five Rivers Medical CenterPocahontas, AR, CCN 040779 Hospital Operational/Managerial Control Jul 1, 1966
Five Rivers Medical Center Home HealthPocahontas, AR, CCN 047148 Home health agency Operational/Managerial Control (100%) Jan 1, 2011
St. Benards Five Rivers Medical ClinicPocahontas, AR, CCN 048516 Rural health clinic Operational/Managerial Control Nov 1, 2010

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755561600000",
    "number": "1376845099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "870-892-6000",
            "fax_number": "870-892-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE RIVERS MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A",
        "authorized_official_last_name": "BARYMON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-892-6200"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Rivers Medical Center Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Rivers Medical Center Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.