McGehee Hospital Incorporated

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

AR4657 Issued in AR

Legal business name

MCGEHEE HOSPITAL INCORPORATED

Practice address

1507 S 1St St
MC Gehee, AR 71654

Phone

(870) 222-6131

Fax

(870) 222-5909

NPI assigned

Oct 23, 2014

Last updated

Aug 9, 2022By 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

Mr. Terry L Amstutz

Title

Ceo

Phone

(870) 690-4132

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477958106. Details of each certification follow.

• CCN 048509 Rural health clinic · Active · Details

Rural health clinic certification: CCN 048509

Legal name

MCGEHEE HOSPITAL INCORPORATED

Doing business as

MCGEHEE FAMILY CLINIC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jan 1, 2015

Last certification

Nov 1, 2016

Ownership / control type

2B

Organization structure

CorporationNon-profit

Incorporated

Dec 29, 2009 in AR

Enrollment address

1507 S 1St St
MC Gehee, AR 71654-2929

Related CCNs

041308

Related certifications (CCN) 1

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

• McGehee Hospital Incorporated

  • Critical Access Hospital
  • McGehee, AR
  • NPI 1770802217

  Parent provider

  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).

• McGehee Hospital Incorporated

  • Family Medicine Physician
  • McGehee, AR
  • NPI 1316266851

  5395876361

  Same PAC ID
• McGehee Hospital Incorporated

  • Critical Access Hospital
  • McGehee, AR
  • NPI 1770802217

  5395876361

  Same PAC ID
• McGehee Hospital Incorporated

  • Medicare Defined Swing Bed Hospital Unit
  • McGehee, AR
  • NPI 1861711301

  5395876361

  Same PAC ID

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 10

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

Practitioners 6

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.

• Clinton Akin

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1730766627
  NPD
• Ali Al-Nashif, M.D.

  • Pulmonary Disease Physician
  • White Hall, AR
  • NPI 1699731430
  NPD
• Kendall Cox, APRN

  • Family Nurse Practitioner
  • McGehee, AR
  • NPI 1194560771
  NPD
• Clinton E. Payne, APRN

  • Family Nurse Practitioner
  • McGehee, AR
  • NPI 1528957040
  NPD
• Sarah Pearce, MSN, FNP-C

  • Family Nurse Practitioner
  • McGehee, AR
  • NPI 1790284180
  NPD
• James A Renfroe III, MD

  • Family Medicine Physician
  • McGehee, AR
  • NPI 1740693183
  NPD

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1477958106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "716540707",
            "telephone_number": "870-222-6131",
            "fax_number": "870-222-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 S 1ST ST",
            "city": "MC GEHEE",
            "state": "AR",
            "postal_code": "71654",
            "telephone_number": "870-222-6131",
            "fax_number": "870-222-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCGEHEE HOSPITAL INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "AMSTUTZ",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-690-4132",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": "AR4657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207179729",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "18509",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McGehee Desha County Hospital (McGehee Community Clinic)
• McGehee Desha County Hospital
• McGehee Drug Company LLC (Sav-Mart Pharmacy)
• McGehee Family Clinic PA
• McGehee Hospital Incorporated
• McGehee Hospital Incorporated
• McGehee Hospital Incorporated
• McGehee School District
• Millie McNealy, CNA
• Sylvia Aretta Meade, CNA

• Rural Health Clinic/Center in McGehee, AR
• Providers in McGehee, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.