NPIMap

Organization Active NPI

Piggott Community Hospital

  • Critical Access Hospital
  • Piggott, AR
National Provider Identifier
1891781837
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
AR3149 Issued in 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
Last updated
Jan 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

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

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1891781837. Details of each certification follow.

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
OtherNon-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
OtherProprietary
Enrollment address
1206 Gordon Duckworth Dr
Piggott Community Hospital
Piggott, AR 72454-1911
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Piggott Community HospitalCCN 041330 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

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

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

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

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

216 E Main St
Piggott, AR 72454
Phone (870) 598-3133

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

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

Ownership & related parties

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 46

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.

View all 46

Affiliated clinicians 88

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

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1891781837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911",
            "telephone_number": "870-598-3881",
            "fax_number": "870-598-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 GORDON DUCKWORTH DR",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724541911",
            "telephone_number": "870-598-3881",
            "fax_number": "870-598-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIGGOTT COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "870-598-3881"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR3149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piggott, AR

Sources for this page

Verify at the official NPI Registry.