Organization Active NPI

Drew Memorial Hospital, Inc

  • Home Health Agency
  • Monticello, AR
National Provider Identifier
1679820898
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4466 Issued in AR
Legal business name
DREW MEMORIAL HOSPITAL, INC
Practice address
778 Scogin Dr
Monticello, AR 71655-5729
Phone
(870) 367-2411
Fax
(870) 460-3565
NPI assigned
Aug 7, 2012
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Melodie Colwell
Title
Cfo
Phone
(870) 460-3569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4466 AR Primary

Addresses

Primary practice location

778 Scogin Dr
Monticello, AR 71655-5729

Mailing address

778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 367-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 3, 2023 Change of OwnershipThis provider was the seller Baptist Health Home Health Network - Drew CountyCCN 047082, AR, NPI 1760263990

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1679820898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411",
            "fax_number": "870-460-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-367-2411",
            "fax_number": "870-460-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREW MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "COLWELL",
        "authorized_official_first_name": "MELODIE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-460-3569"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, AR

Sources for this page

Verify at the official NPI Registry.