Woodruff County Health Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

057 Issued in AR

Legal business name

WOODRUFF COUNTY HEALTH CENTER

Practice address

Hwy 64 W
# 139
MC Crory, AR 72101-8223

Phone

(870) 731-2543

Fax

(870) 731-5027

NPI assigned

Aug 10, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Gwen S Brogdon

Title

Administrator

Phone

(870) 731-2543

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• John Davis Woodruff Center Residential Care Other name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Skilled nursing facility certification: CCN 045222

Legal name

WOODRUFF COUNTY HEALTH CENTER

Doing business as

WOODRUFF COUNTY NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 19, 1993

Last certification

May 31, 2024

Beds

120

Ownership / control type

County

Organization structure

OtherNon-profit

Enrollment address

139 W Highway 64
MC Crory, AR 72101-8263

Nursing home name

WOODRUFF COUNTY HEALTH CENTER

Listed as

Woodruff County Health CenterCCN 045222 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

Government - County

Certified

Nov 19, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

12084.2 residents per day on average

Penalties (3 years)

1Fines totaling $8,278

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Steven Collier, MD

  • Family Medicine Physician
  • Augusta, AR
  • NPI 1699731091

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Steven Collier, MD

  • Family Medicine Physician
  • Augusta, AR
  • NPI 1699731091

  Nursing home

  Care Compare affiliation
• Jesse Daniel Moore, MD

  • Family Medicine Physician
  • Kensett, AR
  • NPI 1750342531

  Nursing home

  Care Compare affiliation
• Noah Kyle Risner, D.O.

  • Internal Medicine Physician
  • McCrory, AR
  • NPI 1689267742

  Nursing home

  Care Compare affiliation
• Steve E Wampler, M.D.

  • Family Medicine Physician
  • Killen, AL
  • NPI 1093717696

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1679574727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HWY 64 W",
            "address_2": "# 139",
            "city": "MC CRORY",
            "state": "AR",
            "postal_code": "721018223",
            "telephone_number": "870-731-2543",
            "fax_number": "870-731-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 64 W",
            "address_2": "# 139",
            "city": "MC CRORY",
            "state": "AR",
            "postal_code": "721018223",
            "telephone_number": "870-731-2543",
            "fax_number": "870-731-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-731-2543",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "220",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEFENSE LOGISTICS AGENCY",
            "identifier": "95847673",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF VETERAN AFFAIRS",
            "identifier": "G24681012",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Davis Woodruff Center Residential Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gerelisa Lashay Swanigan, QBHP
• Jessie Elizabeth Wampler
• Minnie Ethel Washington, CIT MMPH
• Woodruff County Aging Program Inc
• Woodruff County Ambulance Service

• Nursing Facility/Intermediate Care Facility in McCrory, AR
• Providers in McCrory, AR by specialty
• Nursing Facility/Intermediate Care Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.