NPIMap

Organization Active NPI

Baptist Memorial Hospital - Crittenden Inc

  • General Acute Care Hospital
  • West Memphis, AR
National Provider Identifier
1437634524
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BAPTIST MEMORIAL HOSPITAL - CRITTENDEN INC
Practice address
2100 N 7TH St
West Memphis, AR 72301-2017
Phone
(870) 394-7800
NPI assigned
Sep 25, 2018
Last updated
Apr 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Authorized official

Name
Gregory M Duckett
Title
Sr VP/Clo
Phone
(901) 227-5233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

2100 N 7TH St
West Memphis, AR 72301-2017

Mailing address

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181203001415 AR Part A Provider - Hospital 8628312642 Practice locations: West Memphis, AR
O20190326000333 AR Part B Supplier - Clinic/Group Practice 8628312642 Receives reassigned benefits from 11 practitioners
Practice locations: West Memphis, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437634524. Details of each certification follow.

Hospital certification: CCN 040156

Legal name
BAPTIST MEMORIAL HOSPITAL - CRITTENDEN INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Feb 19, 2019
Last certification
Sep 5, 2025
Beds
11
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 14, 2017 in AR
Enrollment address
2100 N 7TH St
West Memphis, AR 72301-2017
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Baptist Memorial Hospital-Crittenden, IncCCN 040156 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2156984Baptist Memorial Hospital - Crittenden2100 North 7TH Street, West Memphis, AR 72301AccreditationDec 11, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Jason M Little Individual Corporate Officer Dec 1, 2018
Cary M. Finn Individual Corporate Director Dec 1, 2018
Arthur Maples Individual Corporate Officer Dec 1, 2018
Corporate Director Dec 1, 2018
Paul Cade Individual Corporate OfficerBoard Member Jan 1, 2024
Kris Azlin Individual Corporate DirectorBoard Member Jan 1, 2024
Samuel H Pieh Individual W-2 Managing EmployeeAd; Apr 1, 2023
Arie Szatkowski Individual Corporate DirectorBoard Member Dec 10, 2020
Gregory M Duckett Individual Corporate Officer Dec 1, 2018
Dale L Morris Individual Corporate Director Dec 1, 2018
Riad I Homsi Individual Corporate DirectorBoard Member Dec 10, 2020
Baptist Memorial Health Care Corporation Organization, West Memphis, AR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2023 100%
5% Or Greater Indirect Ownership Interest Dec 1, 2018 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 47

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

View all 47

Practitioners & affiliated clinicians

Practitioners 12

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.

Affiliated clinicians 156

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

View all 156

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1437634524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012017",
            "telephone_number": "870-394-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012017",
            "telephone_number": "870-394-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL - CRITTENDEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.