NPIMap

Organization Active NPI

St Anthony's Hospital Association

Doing business as CHI St. Vincent Morrilton

  • Critical Access Hospital
  • Morrilton, AR
National Provider Identifier
1891778049
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR4313 Issued in AR
Legal business name
ST ANTHONY'S HOSPITAL ASSOCIATION
Doing business as
CHI St. Vincent Morrilton
Practice address
4 Hospital Dr
Morrilton, AR 72110-4510
Phone
(501) 977-2300
Fax
(501) 977-2256
NPI assigned
Nov 22, 2005
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Bob Stearnes
Title
Director Revenue Cycle
Phone
(501) 552-3171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X AR
Critical Access Hospital 282NC0060X AR4313 AR Primary

Addresses

Primary practice location

4 Hospital Dr
Morrilton, AR 72110-4510

Mailing address

4 Hospital Drive
Morrilton, AR 72110-4510
Phone (501) 977-2300

Other identifiers 6

IdentifierTypeStateIssuer
126745732MedicaidAR
127098765MedicaidAR
101615105MedicaidAR
126932752MedicaidAR
126933757MedicaidAR
127800756MedicaidAR

Other names 1

  • CHI St. Vincent Morrilton Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070203000054 AR Part A Provider - Critical Access Hospital 4082516554 Practice locations: Morrilton, AR
O20071011000551 AR Part A Provider - Rural Health Clinic 4082516554 1 other NPI on this enrollment
Practice locations: Morrilton, AR

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891778049. Details of each certification follow.

Hospital certification: CCN 041324

Legal name
ST ANTHONYS HOSPITAL ASSOCIATION
Doing business as
CHI ST VINCENT MORRILTON
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 2004
Last certification
Sep 22, 2022
Beds
35 (25 certified)
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1966 in AR
Enrollment address
4 Hospital Dr
Morrilton, AR 72110-4510
Other Hospital Practice Location

Rural health clinic certification: CCN 043477

Legal name
ST ANTHONYS HOSPITAL ASSOCIATION
Doing business as
CHI ST. VINCENT MORRILTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 24, 1998
Last certification
Jun 28, 2018
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Jun 3, 1966 in AR
Enrollment address
1711 E Harding St
Morrilton, AR 72110-4510
Related CCNs
041324

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI St Vincent MorriltonCCN 041324 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
St Anthony's Hospital Association8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew L Law Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jan 1, 2024
Carey Ruff Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2021
Commonspirit Health Organization, Englewood, CO Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
Operational/Managerial Control Apr 1, 2014
5% Or Greater Indirect Ownership Interest Aug 31, 1994 100%
Operational/Managerial Control Aug 31, 1994
Barbara Williams Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2016
Garrett Stewart Individual W-2 Managing Employee Oct 3, 2022
Matthew Brown Individual Corporate OfficerPresident Jul 1, 2025
Corporate DirectorBoard Member Jul 1, 2025
Terika Richardson Mbanu Individual Corporate DirectorBoard Member Jul 1, 2025
Donald D Hearne Individual Corporate OfficerSecretary Jul 1, 2025
Thomas Kopfensteiner Individual Corporate DirectorBoard Member Jul 1, 2025
Chad S Aduddell Individual Corporate OfficerMarket President Arkansas Jul 1, 2025
Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate OfficerMarket President-Arkansas Aug 20, 2012
Corporate DirectorMarket President-Arkansas Aug 20, 2012
Operational/Managerial ControlMarket President-Arkansas Aug 20, 2012
Susan Smith Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2016
Bart Newman Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2014
Jean Block Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
William Dillard Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Dec 1, 2012
Michael W Cottrell Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2023
Frederick a Meadors Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2024
Clayton Douglas Borg Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jan 1, 2024
Richard Harrod Blank Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Jul 1, 2023
Cynthia Dunlap Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Corporate Director Aug 5, 2021
Nessa J McCollum-Flaxman Individual Corporate DirectorAdvisory Board Member Jul 1, 2025
Michael Hegeman Individual Corporate Director Jul 1, 2023
Joshua Szostek Individual Corporate OfficerMarket Cfo-Arkansas Aug 1, 2022

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 79

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1891778049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DRIVE",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HOSPITAL DR",
            "city": "MORRILTON",
            "state": "AR",
            "postal_code": "721104510",
            "telephone_number": "501-977-2300",
            "fax_number": "501-977-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "STEARNES",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE",
        "authorized_official_telephone_number": "501-552-3171"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126745732",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127098765",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101615105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126932752",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126933757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127800756",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd",
            "address_2": "SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHI St. Vincent Morrilton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrilton, AR

Sources for this page

Verify at the official NPI Registry.