Active NPI
Crittenden Hospital Association, Inc
Doing business as Crittenden Regional Hospital-Hospice
- Community Based Hospice Care Agency
- West Memphis, AR
National Provider Identifier
1740294909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- AR3539
- Legal business name
- CRITTENDEN HOSPITAL ASSOCIATION, INC
- Doing business as
- Crittenden Regional Hospital-Hospice
- Practice address
- 308 S Rhodes St
West Memphis, AR 72301-4215 - Phone
- (870) 732-3353
- Fax
- (870) 732-2662
- NPI assigned
- Jul 27, 2006
- Organization subpart
- Yes
- Parent organization
- CRITTENDEN HOSPITAL ASSOCIATION, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Eugene K Cashman III
- Title
- Ceo
- Phone
- (870) 735-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | AR3539 | AR | Primary |
Addresses
Primary practice location
308 S Rhodes St
West Memphis, AR 72301-4215
Mailing address
PO Box 3026
West Memphis, AR 72303-3026
Phone (870) 732-3353
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10042 | Other | AR | BLUE CROSS BLUE SHIELD |
| 128262747 | Medicaid | AR |
Other names 1
- Crittenden Regional Hospital-Hospice
National Provider Directory
National Provider Directory- Part of
- Riverside Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1740294909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3026",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723033026",
"telephone_number": "870-732-3353",
"fax_number": "870-732-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 S RHODES ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014215",
"telephone_number": "870-732-3353",
"fax_number": "870-732-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRITTENDEN HOSPITAL ASSOCIATION, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CRITTENDEN HOSPITAL ASSOCIATION, INC",
"enumeration_date": "2006-07-27",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "CASHMAN",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-735-1500",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "AR",
"license": "AR3539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10042",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128262747",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crittenden Regional Hospital-Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in West Memphis, AR
- Crittenden Hospital Association (Crittenden Regional Women's Clinic)
- Crittenden Hospital Association
- Crittenden Hospital Association (Mid-South Multi Specialty Clinic)
- Crittenden Hospital Association (Arkansas Delta Anesthesia)
- Crittenden Hospital Association, Inc (Crittenden Regional Hospital Home Health-West Memphis)
- Crittenden Hospital Association,Inc (Crittenden Regional Hospital Home Health-Marked Tree)
- Crittenden Memorial Hospital (The Childrens Clinic)
- Crittenden Memorial Hospital (Senior Health Clinic)
- Crittenden Physician Services LLC
- Crossroads Treatment Center of West Memphis, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.