Organization Active NPI

Piggott Community Hospital

Doing business as PCH Immediate Care Rural Health Clinc

  • Rural Health Clinic/Center
  • Piggott, AR
National Provider Identifier
1639722655
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PIGGOTT COMMUNITY HOSPITAL
Doing business as
PCH Immediate Care Rural Health Clinc
Practice address
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone
(870) 598-3881
Fax
(870) 598-5716
NPI assigned
Jul 18, 2019
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PIGGOTT COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Ms. Bobbi Johnson
Title
Rural Clinic Coordinator
Phone
(870) 598-3881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

Mailing address

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

Other names 1

  • PCH Immediate Care Rural Health Clinc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Piggott Comm Hosp13 organizations share this tax ID, including this one
Part of
Piggott Comm Hosp

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1639722655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911",
            "telephone_number": "870-598-3881",
            "fax_number": "870-598-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911",
            "telephone_number": "870-598-3881",
            "fax_number": "870-598-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGOTT COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIGGOTT COMMUNITY HOSPITAL",
        "enumeration_date": "2019-07-18",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "RURAL CLINIC COORDINATOR",
        "authorized_official_telephone_number": "870-598-3881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCH Immediate Care Rural Health Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Piggott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.