Organization Active NPI

Crittenden Hospital Association

Doing business as Crittenden Regional Family Practice Clinic

  • Family Medicine Physician
  • Marion, AR
National Provider Identifier
1659613362
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CRITTENDEN HOSPITAL ASSOCIATION
Doing business as
Crittenden Regional Family Practice Clinic
Practice address
303 Bancario Rd.
Suite 1
Marion, AR 72364-2220
Phone
(870) 735-1973
NPI assigned
Mar 20, 2013
Last updated
Jun 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Authorized official

Name
Mr. William Bradford McCormick
Title
Cfo
Phone
(870) 735-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

303 Bancario Rd.
Suite 1
Marion, AR 72364-2220

Mailing address

303 Bancario Rd.
Suite 1
Marion, AR 72364-2220

Other names 1

  • Crittenden Regional Family Practice Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1600 Lindauer Rd
Forrest City, AR 72335
Phone (870) 633-3551

1710 Main St
Hughes, AR 72348
Phone (870) 735-1500

303 Bancario
Ste 1
Marion, AR 72364
Phone (870) 735-1973

200 W Tyler Ave
Fl 3
West Memphis, AR 72301
Phone (870) 733-3867

225 S Claybrook St
Memphis, TN 38104
Phone (901) 516-2152

Practitioners & affiliated clinicians

Practitioners 3

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1659613362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BANCARIO RD.",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BANCARIO RD.",
            "address_2": "SUITE 1",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723642220",
            "telephone_number": "870-735-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenden Regional Family Practice Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.