NPIMap

Organization Active NPI

South Arkansas Regional Hospital LLC

  • General Acute Care Hospital
  • El Dorado, AR
National Provider Identifier
1780375592
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SOUTH ARKANSAS REGIONAL HOSPITAL LLC
Practice address
700 W Grove St
El Dorado, AR 71730-4416
Phone
(870) 863-2000
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Brian W Jones
Title
President/Ceo
Phone
(870) 881-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

700 W Grove St
El Dorado, AR 71730-4416

Mailing address

2299 Champagnolle Rd
El Dorado, AR 71730-4841
Phone (870) 881-9015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901003523 AR Part A Provider - Hospital 1254794928 Practice locations: El Dorado, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780375592. Details of each certification follow.

Hospital certification: CCN 040088

Legal name
SOUTH ARKANSAS REGIONAL HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 6, 1966
Last certification
Jul 7, 2022
Beds
149
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 2023 (3 total)
Organization structure
LLCNon-profit
Incorporated
Apr 21, 2023 in DE
Enrollment address
700 W Grove St
El Dorado, AR 71730-4416
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
South Arkansas Regional Hospital LLCCCN 040088 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
South Arkansas Regional Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2401 W Hillsboro St
El Dorado, AR 71730
Phone (870) 862-4624

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Steven Cameron Individual Corporate Director Apr 21, 2023
Chris Hegi Individual Corporate Director Apr 21, 2023
Andrew Clyde Individual Corporate Director Apr 21, 2023
Brian Jones Individual Corporate OfficerPresident/Ceo Apr 21, 2023
Stephen Smart Individual Corporate Director Apr 21, 2023
Donald Smith Individual Corporate Director Apr 21, 2023
Marcia Ford Individual Corporate Director Apr 21, 2023
Stephanie Gardner Individual Corporate Director Apr 21, 2023
Steven Cosse Individual Corporate Director Apr 21, 2023
Britney Snell Individual Corporate OfficerSecretary/Treasurer Apr 21, 2023
Steven Cousins Individual Corporate OfficerChairman Apr 21, 2023
Amber Rollins Individual W-2 Managing EmployeeInterim Cno Jul 1, 2023
Danna Taylor Individual Contracted Managing Employee Jul 1, 2023
Marita Gissel Caldwell Individual Contracted Managing Employee Jul 1, 2023
Sarh Holdings, Inc Organization, El Dorado, AR Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Apr 21, 2023 100%

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 165

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 165

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1780375592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 CHAMPAGNOLLE RD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304841",
            "telephone_number": "870-881-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARKANSAS REGIONAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "870-881-9015"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.