Organization Active NPI

Pike County Memorial Hospital

Doing business as PC Hospital ER

  • Community Health Registered Nurse
  • Murfreesboro, AR
National Provider Identifier
1659487932
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
AR3422 Issued in AR
Legal business name
PIKE COUNTY MEMORIAL HOSPITAL
Doing business as
PC Hospital ER
Practice address
315 E 13TH St
Murfreesboro, AR 71958-9541
Phone
(870) 285-3182
Fax
(870) 285-3305
NPI assigned
Aug 21, 2006
Reactivated
Feb 14, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Rosemary Fritts
Title
Administrator
Phone
(870) 285-3182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X AR3422 AR Primary

Addresses

Primary practice location

315 E 13TH St
Murfreesboro, AR 71958-9541

Mailing address

315 East 13TH St
Murfreesboro, AR 71958
Phone (870) 285-3182

Other identifiers 2

IdentifierTypeStateIssuer
17165OtherARBLUECROSSBLUESHIELD
130822514MedicaidAR

Other names 1

  • PC Hospital ER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1659487932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 EAST 13TH ST",
            "city": "MURFREESBORO",
            "state": "AR",
            "postal_code": "71958",
            "telephone_number": "870-285-3182",
            "fax_number": "870-285-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 E 13TH ST",
            "city": "MURFREESBORO",
            "state": "AR",
            "postal_code": "719589541",
            "telephone_number": "870-285-3182",
            "fax_number": "870-285-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-06-16",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FRITTS",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-285-3182",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AR",
            "license": "AR3422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "17165",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130822514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PC Hospital ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.