Active NPI
Crittenden Hospital Association
Doing business as Riverside Clinic
- Rural Health Clinic/Center
- Marked Tree, AR
National Provider Identifier
1780620534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mid-South Multi Specialty Clinic
- Infectious Disease Physician
- West Memphis, AR
- NPI 1700842994
Member Of
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
- Bradley Bibb MD PLLC (access medical clinic)
- Caring Hearts Home Care Provider LLC
- CJMH, LLC (Arkansas Eye Site)
- Baylee Craft, APRN, FNP-BC
- Crittenden Hospital Association (Crittenden Regional Hospital Home Health-Marked Tree)
- Titus Leraun Crockett
- Erin Curtner, LMSW
- Dr Bryan Caplinger PA
- Anita Gibson
- Sarah Jane Hattle, MCD, CCC-SLP
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.