NPIMap

Organization Active NPI

QHG of Springdale Inc

Doing business as Northwest Senior Health Center -- Bentonville

  • Clinic/Center
  • Bentonville, AR
National Provider Identifier
1750334066
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4141 Issued in AR
Legal business name
QHG OF SPRINGDALE INC
Doing business as
Northwest Senior Health Center -- Bentonville
Practice address
3400 SE John Rollow Dr.
Bentonville, AR 72712
Phone
(479) 553-1000
Fax
(479) 553-1900
NPI assigned
May 18, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Laurie Holtsford
Title
Director, Business Office Services
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4141 AR Primary

Addresses

Primary practice location

3400 SE John Rollow Dr.
Bentonville, AR 72712

Mailing address

PO Box 7360
Springdale, AR 72766-7360
Phone (479) 553-1000

Other names 1

  • Northwest Senior Health Center -- Bentonville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Springdale Emergency PH3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1722 SE Moberly Ln
Bentonville, AR 72712

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1750334066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7360",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727667360",
            "telephone_number": "479-553-1000",
            "fax_number": "479-553-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SE JOHN ROLLOW DR.",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-553-1000",
            "fax_number": "479-553-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHG OF SPRINGDALE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SERVICES",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Senior Health Center -- Bentonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.