Organization Active NPI

McSa LLC

  • General Acute Care Hospital
  • El Dorado, AR
National Provider Identifier
1689625568
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
AR3950 Issued in AR
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

Updated by the provider on Apr 14, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
130047105MedicaidAR

Other names 1

  • Medical Center of South Arkansas Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.