Baptist Health Regional Hospitals

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

BAPTIST HEALTH REGIONAL HOSPITALS

Doing business as

Baptist Health - Fort Smith

Practice address

1001 Towson Ave
Fort Smith, AR 72901-4921

Phone

(479) 441-4000

NPI assigned

Jul 19, 2018

Last updated

Mar 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 1

Addresses

Other names 1

• Baptist Health - Fort Smith Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477039782. Details of each certification follow.

• CCN 04S055 Hospital · Details

Hospital certification: CCN 04S055

Legal name

BAPTIST HEALTH REGIONAL HOSPITALS

Doing business as

BAPTIST HEALTH - FORT SMITH

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2018 in AR

Enrollment address

1001 Towson Ave
Fort Smith, AR 72901-4921
Hospital Psychiatric Unit

Hospital subgroups

Psychiatric unit

Related certifications (CCN) 1

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

• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146

  Unit of hospital

  Provider of Services

Other NPIs with the same Medicare PAC ID 3

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

• Baptist Health Regional Hospitals

  dba Baptist Health - Van Buren

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1154807584

  0244589612

  Same PAC ID
• Baptist Health Regional Hospitals

  dba Baptist Health - Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146

  0244589612

  Same PAC ID
• Baptist Health Regional Hospitals

  dba Baptist Health Family Clinic - Alma

  • Rural Health Clinic/Center
  • Alma, AR
  • NPI 1811606254

  0244589612

  Same PAC ID

Tax ID family

Baptist Health Regional Hospitals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Baptist Health Regional Hospitals

  dba Baptist Health Family Clinic - Alma

  • Rural Health Clinic/Center
  • Alma, AR
  • NPI 1811606254
  NPD tax ID

All disclosed owners & managing parties 21

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

Facilities with the same owner 50

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

• Baptist Health

  dba Baptist Health Family Clinic Greers Ferry

  • Rural Health Clinic/Center
  • Greers Ferry, AR
  • NPI 1003821703

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
  • NPI 1033213632

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Baptist Health

  CMS ownership
• Baptist Health

  • Rural Health Clinic/Center
  • Heber Springs, AR
  • NPI 1104268689

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Hospice

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1164526554

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Arkadelphia

  • Critical Access Hospital
  • Arkadelphia, AR
  • NPI 1174553796

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Rehabilitation Institute

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Medical Center-Psych

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1255377420

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Ouachita Valley Family Clinic

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1366279424

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  Baptist Health

  CMS ownership

Practitioners 2

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.

• Fayz A Hudefi, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Fort Smith, AR
  • NPI 1992740393
  NPD (past)
• Natalie D Jordan, M.D.

  • Psychiatry Physician
  • Fort Smith, AR
  • NPI 1023252269
  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1477039782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014921",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH REGIONAL HOSPITALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baptist Health - Fort Smith",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Banhart
• Bryley Jae Banks, OD
• Stacy Banks
• Zachary Banks, QBHP
• Ryan Christopher Banning, MD
• Baptist Health Regional Hospitals (Baptist Health - Fort Smith)
• Baptist Health Services
• Baptist Health Services (Baptist Health Foot and Ankle Clinic-Fort Smith)
• Shay A Barfield, APRN
• Louise Margaret Barling, R.D.,L.D.

• Psychiatric Hospital Unit in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Psychiatric Hospital Unit in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.