South Arkansas Regional Hospital LLC
Organization Active NPI General Acute Care Hospital · El Dorado, AR
NPI 1780375592 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1780375592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 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
- Organization subpart
- No
Authorized official
- Name
- Brian W Jones
- Title
- President/Ceo
- Phone
- (870) 881-9015
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 1
Related certifications (CCN) 1
Facilities with the same owner 1
Affiliated clinicians 165
-
Muhammad Ali, M.D.
-
Edward E Angtuaco, M.D.
-
Kimberly Lane Atwell, APRN
-
Seth M Barnes, MD
-
Vanessa Nicole Barnes, APRN
-
Jennifer Leigh Biddle, APRN
-
John Gregory Booker, M.D.
-
Chelsea Jo Bounds, APRN, FNP-C
-
Brian Michael Bowlin, M.D.
-
Caleb B Bozeman, M.D.
-
Anita Burleson, NP
-
Michael D Cassat, MD
-
James William Chambliss, M.D.
-
Jacquelene C Childs, M.D.
-
Shahreen Aslam Chowdhury, M.D.
-
Jamie C Cisneros, MD
-
William C. Cobb, MD
-
Althea T Conley, MD., PH.D.
Medicare Care Compare: Hospital
- Listed as
- South Arkansas Regional Hospital LLC
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- LLC · Non-profit
- Incorporated
- Apr 21, 2023 in DE
- Enrollment address
- 700 W Grove St
El Dorado, AR 71730-4416 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| James Steven Cameron |
Corporate Director | Apr 21, 2023 | |
| Chris Hegi |
Corporate Director | Apr 21, 2023 | |
| Andrew Clyde |
Corporate Director | Apr 21, 2023 | |
| Brian Jones |
Corporate Officer |
Apr 21, 2023 | |
| Stephen Smart |
Corporate Director | Apr 21, 2023 | |
| Donald Smith |
Corporate Director | Apr 21, 2023 | |
| Marcia Ford |
Corporate Director | Apr 21, 2023 | |
| Stephanie Gardner |
Corporate Director | Apr 21, 2023 | |
| Steven Cosse |
Corporate Director | Apr 21, 2023 | |
| Britney Snell |
Corporate Officer |
Apr 21, 2023 | |
| Steven Cousins |
Corporate Officer |
Apr 21, 2023 | |
| Amber Rollins |
W-2 Managing Employee |
Jul 1, 2023 | |
| Danna Taylor |
Contracted Managing Employee | Jul 1, 2023 | |
| Marita Gissel Caldwell |
Contracted Managing Employee | Jul 1, 2023 | |
| Sarh Holdings, Inc |
5% Or Greater Direct Ownership Interest | Apr 21, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230901003523 | AR | Part a Provider - Hospital | 1254794928 | Practice locations: El Dorado, AR |
National Provider Directory
- Tax ID family
- South Arkansas Regional Hospital LLC
Locations
2401 W Hillsboro St
El Dorado, AR 71730
Phone (870) 862-4624
620 W Grove St
Ste 302
El Dorado, AR 71730
Phone (870) 863-2215
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
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
Other providers in El Dorado, AR
- South Arkansas Regional Health Center Hope House
- South Arkansas Regional Health Center Psy GRP
- South Arkansas Regional Health Center, Community Support Program
- South Arkansas Regional Heatlh Center
- South Arkansas Regional Hospital LLC
- South Arkansas RT Associates LLC
- South Arkansas Substance Abuse
- South Arkansas Substance Abuse
- South Arkansas Womens Clinic PLC
- South Arkansas Youth Services, Inc
All providers in El Dorado, AR · General Acute Care Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.