NPIMap

Organization Active NPI

Booneville Community Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Booneville, AR
National Provider Identifier
1598842643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
AR4154 Issued in AR
Legal business name
BOONEVILLE COMMUNITY HOSPITAL, INC
Practice address
880 West Main
Booneville, AR 72927-0290
Phone
(479) 675-2800
Fax
(479) 675-2881
NPI assigned
Nov 1, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robin (Bob) Calvin Robertson
Title
Chief Financial Officer
Phone
(479) 675-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X AR4154 AR Primary

Addresses

Primary practice location

880 West Main
Booneville, AR 72927-0290

Mailing address

PO Box 290
Booneville, AR 72927-0290
Phone (479) 675-2800

Other identifiers 5

IdentifierTypeStateIssuer
043491OtherARBCH RHC
04Z318OtherARBCH SWING BED
11318OtherARARK BCBS
5C893OtherARBCH CLINIC
047171OtherARBCH HOME HEALTH AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Booneville Community Hospital2 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.

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598842643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729270290",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WEST MAIN",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729270290",
            "telephone_number": "479-675-2800",
            "fax_number": "479-675-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ROBIN (BOB)",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "479-675-2800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "AR",
            "license": "AR4154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCH RHC",
            "identifier": "043491",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCH SWING BED",
            "identifier": "04Z318",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BCBS",
            "identifier": "11318",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCH CLINIC",
            "identifier": "5C893",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCH HOME HEALTH AGENCY",
            "identifier": "047171",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.