Active NPI
McSa LLC
- General Acute Care Hospital
- El Dorado, AR
National Provider Identifier
1689625568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- AR3950
- Legal business name
- MCSA LLC
- Practice address
- 701 W Grove St
El Dorado, AR 71730-4415 - Phone
- (870) 863-2000
- Fax
- (870) 863-5442
- NPI assigned
- May 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AR3950 | AR | Primary |
Addresses
Primary practice location
701 W Grove St
El Dorado, AR 71730-4415
Mailing address
700 W Grove St
El Dorado, AR 71730-4416
Phone (870) 863-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130047105 | Medicaid | AR |
Other names 1
- Medical Center of South Arkansas
National Provider Directory
National Provider DirectoryLocations
701 W Grove St
El Dorado, AR 71730
Phone (870) 881-8434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618358400000",
"number": "1689625568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W GROVE ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304416",
"telephone_number": "870-863-2000",
"fax_number": "870-863-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W GROVE ST",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304415",
"telephone_number": "870-863-2000",
"fax_number": "870-863-5442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCSA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2021-04-14",
"certification_date": "2021-04-14",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "AR",
"license": "AR3950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130047105",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Center of South Arkansas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Dorado, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.