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South Arkansas Regional Hospital LLC

Organization Active NPI Rehabilitation Hospital Unit · El Dorado, AR

NPI 1437840253 · NPPES record last updated May 15, 2023

Key facts

NPI
1437840253
Entity type
Organization (NPI type 2)
Primary specialty
Rehabilitation Hospital Unit 273Y00000X
Legal business name
SOUTH ARKANSAS REGIONAL HOSPITAL LLC
Practice address
700 W Grove St
El Dorado, AR 71730-4416
Phone
(870) 863-2000
NPI assigned
May 15, 2023
Organization subpart
No

Authorized official

Name
Brian W Jones
Title
President/Ceo
Phone
(870) 881-9015

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 1

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

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

Facilities with the same owner 1

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

Affiliated clinicians 2

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

Medicare Care Compare: Inpatient rehabilitation facility

Listed as
Medical Center of S Arkansas CCN 04T088
Ownership
For profit
Certified
Jul 1, 2023

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Hospital certification: CCN 04T088

Legal name
SOUTH ARKANSAS REGIONAL HOSPITAL LLC
Organization structure
LLC · Non-profit
Incorporated
Apr 21, 2023 in DE
Enrollment address
700 W Grove St
El Dorado, AR 71730-4416
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation

All disclosed owners & managing parties 15

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

NameRoleSinceShare
James Steven Cameron
Individual 		Corporate Director Apr 21, 2023
Chris Hegi
Individual 		Corporate Director Apr 21, 2023
Andrew Clyde
Individual 		Corporate Director Apr 21, 2023
Brian Jones
Individual 		Corporate Officer Apr 21, 2023
Operational/Managerial Control Apr 21, 2023
Stephen Smart
Individual 		Corporate Director Apr 21, 2023
Donald Smith
Individual 		Corporate Director Apr 21, 2023
Marcia Ford
Individual 		Corporate Director Apr 21, 2023
Stephanie Gardner
Individual 		Corporate Director Apr 21, 2023
Steven Cosse
Individual 		Corporate Director Apr 21, 2023
Britney Snell
Individual 		Corporate Officer
Secretary/Treasurer		 Apr 21, 2023
Steven Cousins
Individual 		Corporate Officer
Chairman		 Apr 21, 2023
Amber Rollins
Individual 		W-2 Managing Employee Jul 1, 2023
Danna Taylor
Individual 		Contracted Managing Employee Jul 1, 2023
Marita Gissel Caldwell
Individual 		Contracted Managing Employee Jul 1, 2023
Sarh Holdings, Inc
Organization · El Dorado, AR
Non-profit 		5% Or Greater Direct Ownership Interest Apr 21, 2023 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230901002391 AR Part a Provider - Hospital 1254794928 Practice locations: El Dorado, AR

National Provider Directory

Tax ID family
South Arkansas Regional Hospital LLC (2 organizations share this tax ID)

Locations

2299 Champagnolle Rd
El Dorado, AR 71730

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Yes

Addresses

Primary practice location

700 W Grove St
El Dorado, AR 71730-4416

Mailing address

2299 Champagnolle Rd
El Dorado, AR 71730-4841
Phone (870) 881-9015

Other providers in El Dorado, AR

All providers in El Dorado, AR · Rehabilitation Hospital Unit in Arkansas

Sources for this page

Verify at the official NPI Registry.