NPIMap

Organization Active NPI

Crittenden Hospital Association

Doing business as Mid-South Women's Clinic

  • Obstetrics & Gynecology Physician
  • West Memphis, AR
National Provider Identifier
1417914383
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CRITTENDEN HOSPITAL ASSOCIATION
Doing business as
Mid-South Women's Clinic
Practice address
312 S Rhodes St
West Memphis, AR 72301-4215
Phone
(870) 733-1240
Fax
(870) 733-1858
NPI assigned
Apr 26, 2006
Last updated
Feb 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

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

Authorized official

Name
Tamara Banks
Title
Billing Coordinator
Phone
(870) 735-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

312 S Rhodes St
West Memphis, AR 72301-4215

Mailing address

312 S Rhodes St
West Memphis, AR 72301-4215
Phone (870) 733-1240

Other names 1

  • Mid-South Women's Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1417914383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-733-1240",
            "fax_number": "870-733-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S RHODES ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014215",
            "telephone_number": "870-733-1240",
            "fax_number": "870-733-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "870-735-1500"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid-South Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.