NPIMap

Organization Active NPI

Crossett Health Foundation

  • Critical Access Hospital
  • Crossett, AR
National Provider Identifier
1811255987
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
282NC0060X Issued in AR
Legal business name
CROSSETT HEALTH FOUNDATION
Practice address
1003 Fred Lagrone Dr
Crossett, AR 71635-4546
Phone
(870) 364-3800
Fax
(870) 364-3811
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Phillip Gilmore
Title
Ceo
Phone
(870) 364-1271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 282NC0060X AR Primary

Addresses

Primary practice location

1003 Fred Lagrone Dr
Crossett, AR 71635-4546

Mailing address

1003 Fred Lagrone Dr
Crossett, AR 71635-4546
Phone (870) 364-3800

Other identifiers 1

IdentifierTypeStateIssuer
150522729MedicaidAR

Other names 1

  • Ashley County Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ashley Memorial Hosp9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1811255987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 FRED LAGRONE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354546",
            "telephone_number": "870-364-3800",
            "fax_number": "870-364-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 FRED LAGRONE DR",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354546",
            "telephone_number": "870-364-3800",
            "fax_number": "870-364-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSETT HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-364-1271"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "282NC0060X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150522729",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossett, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.