NPIMap

Organization Active NPI

Siloam Springs Arkansas Hospital Company LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Siloam Springs, AR
National Provider Identifier
1407369390
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
AR4774
Legal business name
SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLC
Doing business as
Siloam Springs Regional Hospital
Practice address
603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone
(479) 524-4141
NPI assigned
Nov 14, 2017
Organization subpart
Yes
Parent organization
SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(629) 215-3953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AR4774 Primary

Addresses

Primary practice location

603 N Progress Ave
Siloam Springs, AR 72761-4352

Mailing address

603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (479) 524-4141

Other names 1

  • Siloam Springs Regional Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171209000147 AR Part A Provider - Hospital 7416013594 Practice locations: Siloam Springs, AR

Hospital certification: CCN 04U001

Legal name
SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLC
Doing business as
SILOAM SPRINGS REGIONAL HOSPITAL
Organization structure
LLCProprietary
Incorporated
Oct 30, 2008 in DE
Enrollment address
603 N Progress Ave
Siloam Springs, AR 72761-4352
Hospital Swing-Bed Unit
Hospital subgroups
Acute care, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Siloam Springs Arkansas Hospital Company LLC2 organizations share this tax ID, including this one
Part of
Siloam Springs Arkansas Hospital Company LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603-2 N Progress Ave
Ste 500
Siloam Springs, AR 72761
Phone (479) 215-3000

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kevin J Hammons Individual Corporate OfficerPresident/Board Member Mar 1, 2022
Corporate DirectorPresident/Board Member Mar 1, 2022
Nathaniel K Summar Individual Corporate DirectorVP Revenue Management Apr 1, 2018
Justin D Pitt Individual Corporate OfficerExec VP/Assist Sec/Board Member Mar 1, 2022
Corporate DirectorExec VP/Assist Sec/Board Member Mar 1, 2022
William Bradley Cash Individual Corporate OfficerExecutive VP Jun 1, 2018
Siloam Springs Holdings, LLC Organization, Franklin, TN LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2018 100%
Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Jason Kevin Johnson Individual Corporate OfficerSenior VP Jan 6, 2020
Roman Gabriel Ottinger Individual Corporate OfficerSenior VP/Treasurer Mar 1, 2020
Eric Naegler Individual W-2 Managing EmployeeMarket Ceo Sep 1, 2023
Paula M Lalor Individual Corporate DirectorDirector PFS/Delegated Official Apr 1, 2018
Edna S Buffington-Price Individual Corporate DirectorVP/Authorized Official Mar 1, 2022
Community Health Investment Company LLC Organization, Franklin, TN LLC 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Christopher G Cobb Individual Corporate OfficerVP/Secretary Apr 1, 2018
CHS Community Health Systems Inc Organization, Franklin, TN Corporation 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%

Facilities with the same owner 120

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

View all 120

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1407369390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614352",
            "telephone_number": "479-524-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N PROGRESS AVE",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727614352",
            "telephone_number": "479-524-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILOAM SPRINGS ARKANSAS HOSPITAL COMPANY LLC",
        "enumeration_date": "2017-11-14",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "629-215-3953"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": "AR4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siloam Springs Regional Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.