NPIMap

Organization Active NPI

Howard Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Nashville, AR
National Provider Identifier
1609920370
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
C00250 Issued in AR
Legal business name
HOWARD MEMORIAL HOSPITAL
Practice address
130 Medical Circle
Nashville, AR 71852-8606
Phone
(870) 845-8024
Fax
(870) 845-8027
NPI assigned
Jan 22, 2007
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HOWARD MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
William Joseph Craig
Title
Cfo
Phone
(870) 845-8003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X C00250 AR Primary

Addresses

Primary practice location

130 Medical Circle
Nashville, AR 71852-8606

Mailing address

130 Medical Circle
Nashville, AR 71852-8606
Phone (870) 845-8024

Other identifiers 1

IdentifierTypeStateIssuer
113282002MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000638 AR Part B Supplier - Clinic/Group Practice 7315851599 Receives reassigned benefits from 4 practitioners
Practice locations: Nashville, AR

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Howard Memorial Hospital11 organizations share this tax ID, including this one
Part of
Howard Memorial Hospital

Other organizations with this tax ID 10

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elite Home HealthNashville, AR, CCN 047138 Home health agency 5% Or Greater Direct Ownership Interest (33%) Jul 16, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1609920370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CIRCLE",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-8024",
            "fax_number": "870-845-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MEDICAL CIRCLE",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718528606",
            "telephone_number": "870-845-8024",
            "fax_number": "870-845-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOWARD MEMORIAL HOSPITAL",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-845-8003"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "C00250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113282002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.