Signature Medical Park Hospital L L C

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SIGNATURE MEDICAL PARK HOSPITAL L L C

Practice address

302 E 20TH St
Hope, AR 71801-8217

Phone

(870) 777-8975

Fax

(870) 777-8294

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Carol Campbell

Title

Manager

Phone

(870) 722-7292

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Goins Rural Practice Center Doing business as

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821039769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718020601",
            "telephone_number": "870-722-7231",
            "fax_number": "870-722-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 E 20TH ST",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018217",
            "telephone_number": "870-777-8975",
            "fax_number": "870-777-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE MEDICAL PARK HOSPITAL L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-722-7292"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BCBS",
            "identifier": "5B624",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goins Rural Practice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue E Sellers
• Corrinne Renee Sells, RN
• Ashley Nicole Shepard, FNP-C
• Devin Shepard, NP
• Susan Shoemaker
• Signature Medical Park Hospital LLC
• Signature Medical Park Hospital, LLC
• Tamara A Sims, QBHP
• Lacey Singleton
• Lester Milam Sitzes III, D.D.S.

• Rural Health Clinic/Center in Hope, AR
• Providers in Hope, AR by specialty
• Rural Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.