Active NPI
Drew County Memorial Hospital
Doing business as Drew Memorial Hospital Home Health Agency
- Home Health Agency
- Monticello, AR
National Provider Identifier
1770580995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- AR4466
- Legal business name
- DREW COUNTY MEMORIAL HOSPITAL
- Doing business as
- Drew Memorial Hospital Home Health Agency
- Practice address
- 821 Highway 278 E
Monticello, AR 71655-7901 - Phone
- (870) 460-3585
- NPI assigned
- Jul 1, 2005
- Last updated
- Jul 29, 2008
- Organization subpart
- Yes
- Parent organization
- DREW COUNTY MEMORIAL HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karon Beavers, RN
- Title
- RN Director
- Phone
- (870) 460-3585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR4466 | AR | Primary |
Addresses
Primary practice location
821 Highway 278 E
Monticello, AR 71655-7901
Mailing address
778 Scogin Dr
Monticello, AR 71655-5729
Phone (870) 460-3585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102155514 | Medicaid | AR | |
| 17082 | Other | AR | BLUE CROSS HOME HEALTH |
Other names 1
- Drew Memorial Hospital Home Health Agency
National Provider Directory
National Provider Directory- Part of
- Drew Memorial Emergency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1770580995",
"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": "870-460-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 HIGHWAY 278 E",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716557901",
"telephone_number": "870-460-3585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREW COUNTY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DREW COUNTY MEMORIAL HOSPITAL",
"enumeration_date": "2005-07-01",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "BEAVERS",
"authorized_official_first_name": "KARON",
"authorized_official_title_or_position": "RN DIRECTOR",
"authorized_official_telephone_number": "870-460-3585",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": "AR4466",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102155514",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOME HEALTH",
"identifier": "17082",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Drew Memorial Hospital Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Monticello, AR
- Drew Central School District
- Drew County Memorial Hospital
- Drew County Memorial Hospital (Drew Memorial Anesthesia Services)
- Drew County Memorial Hospital
- Drew County Memorial Hospital
- Drew County Memorial Hospital
- Drew Memorial Hospital HDM
- Drew Memorial Hospital Homemaker
- Drew Memorial Hospital Pers
- Drew Memorial Hospital Personal Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.