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Piggott Community Hospital

Organization Active NPI Critical Access Hospital · Piggott, AR

NPI 1891781837 · NPPES record last updated Jan 24, 2018

Key facts

NPI
1891781837
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
AR3149 (AR)
Legal business name
PIGGOTT COMMUNITY HOSPITAL
Practice address
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone
(870) 598-3881
Fax
(870) 598-2480
NPI assigned
Sep 26, 2005
Organization subpart
No

Authorized official

Name
James Magee
Title
Exec Director
Phone
(870) 598-3881

Other NPIs with the same Medicare PAC ID 7

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

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

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

Affiliated clinicians 88

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

View all 88

Medicare Care Compare: Hospital

Listed as
Piggott Community Hospital CCN 041330
Overall star rating
★★★☆☆ 3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in AR

Hospital certification: CCN 041330

Legal name
PIGGOTT COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 28, 2005
Last certification
Apr 18, 2024
Beds
25
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Other Hospital Practice Location

Hospital certification: CCN 04Z330

Legal name
PIGGOTT COMMUNITY HOSPITAL
Organization structure
Other · Proprietary
Enrollment address
1206 Gordon Duckworth Dr
Piggott Community Hospital
Piggott, AR 72454-1911
Other Hospital Practice Location

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Barry Dehart
Individual 		Corporate Director
Board Member		 Aug 13, 2020
5% Or Greater Direct Ownership Interest Aug 13, 2020 10%
Corporate Director
Board Member		 Aug 13, 2020 10%
Travis Williams
Individual 		Corporate Director
Mayor of Piggott		 Jan 1, 2020
Cody Knight
Individual 		Corporate Director
Board Member		 Jan 14, 2020
5% Or Greater Direct Ownership Interest Jan 14, 2020 10%
Corporate Director
Board Member		 Jan 14, 2020 10%
James L Magee
Individual 		Corporate Director
Executive Director		 Oct 16, 2007 50%
W-2 Managing Employee
Executive Director		 Oct 16, 2007 50%
Stephanie Lowe
Individual 		Corporate Director
Board Member		 Jun 30, 2021
5% Or Greater Direct Ownership Interest Jun 30, 2021 5%
Corporate Director
Board Member		 Jun 30, 2021 5%
City of Piggott
Organization · Piggott, AR 		5% Or Greater Direct Ownership Interest Jul 1, 1979
David Gregory
Individual 		Corporate Director
Board Member		 Mar 29, 2018
5% Or Greater Indirect Ownership Interest
Director		 Mar 29, 2018 10%
Brad Scheffler
Individual 		5% Or Greater Direct Ownership Interest Jan 1, 2023 5%
Corporate Director
Mayor of Piggott		 Jan 1, 2023 5%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000619 AR Part a Provider - Critical Access Hospital 0345140448 Receives reassigned benefits from 24 practitioners
Practice locations: Piggott, AR
O20061228000343 AR Part a Provider - Critical Access Hospital 0345140448 Receives reassigned benefits from 1 practitioner
Practice locations: Piggott, AR
O20250219003509 AR Part B Supplier - Ambulance Service Supplier 0345140448 Practice locations: Piggott, AR

National Provider Directory

Locations

408 SW 2nd St
Corning, AR 72422
Phone (870) 520-8761

310 N Missouri Ave
Ste A
Corning, AR 72422
Phone (870) 857-1122

1320 W Main St
Ste A
Corning, AR 72422
Phone (870) 857-1298

1001 N Missouri Ave
#A
Corning, AR 72422
Phone (870) 857-1122

719 E 9th St
Rector, AR 72461
Phone (870) 595-2558

115 N Ash St
Campbell, MO 63933
Phone (573) 246-2882

121 1st St
#A
Kennett, MO 63857
Phone (573) 559-3535

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR3149 AR Yes

Addresses

Primary practice location

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911

Mailing address

1206 Gordon Duckworth Dr
Piggott, AR 72454-1911
Phone (870) 598-3881

Other identifiers

IdentifierTypeStateIssuer
101505105MedicaidAR
101518715MedicaidAR
011359908MedicaidMO

Other providers in Piggott, AR

All providers in Piggott, AR · Critical Access Hospital in Arkansas

Sources for this page

Verify at the official NPI Registry.