Organization Active NPI

Crittenden Hospital Association

Doing business as Riverside Clinic

  • Rural Health Clinic/Center
  • Marked Tree, AR
National Provider Identifier
1780620534
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CRITTENDEN HOSPITAL ASSOCIATION
Doing business as
Riverside Clinic
Practice address
105 Nathan St
Marked Tree, AR 72365-1447
Phone
(870) 358-2036
Fax
(870) 358-4116
NPI assigned
Jun 21, 2006
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Ramona Taylor
Title
Director of Development
Phone
(870) 735-5527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

105 Nathan St
Marked Tree, AR 72365-1447

Mailing address

105 Nathan St
Marked Tree, AR 72365-1447
Phone (870) 358-2036

Other names 1

  • Riverside Clinic Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1780620534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 NATHAN ST",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723651447",
            "telephone_number": "870-358-2036",
            "fax_number": "870-358-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 NATHAN ST",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723651447",
            "telephone_number": "870-358-2036",
            "fax_number": "870-358-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "DIRECTOR OF DEVELOPMENT",
        "authorized_official_telephone_number": "870-735-5527"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marked Tree, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.