NPIMap

Organization Active NPI

State of Arkansas

Doing business as Arkansas State Hospital

  • Psychiatric Hospital
  • Little Rock, AR
National Provider Identifier
1891808630
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
88 Issued in AR
Legal business name
STATE OF ARKANSAS
Doing business as
Arkansas State Hospital
Practice address
305 S Palm St
Little Rock, AR 72205-5432
Phone
(501) 686-9000
Fax
(501) 683-3677
NPI assigned
Aug 16, 2006
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
James M Scoggins
Title
Ceo
Phone
(501) 686-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 88 AR Primary

Addresses

Primary practice location

305 S Palm St
Little Rock, AR 72205-5432

Mailing address

305 S Palm St
Little Rock, AR 72205-5432
Phone (501) 686-9000

Other names 1

  • Arkansas State Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080909000722 AR Part B Supplier - Clinic/Group Practice 6507863958 Receives reassigned benefits from 37 practitioners
Practice locations: Little Rock, AR

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
State of Arkansas14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

6 Professional Park Dr
Clarksville, AR 72830
Phone (479) 754-2949

4815 W Markham St
#21
Little Rock, AR 72205
Phone (501) 661-2796

5800 W 10th St
Ste 912
Little Rock, AR 72204

2800 Willow St
North Little Rock, AR 72114

1009 S Garfield Ave
Piggott, AR 72454
Phone (870) 598-3390

614 E Emma Ave
Ste 247
Springdale, AR 72764

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
State of ArkansasLittle Rock, AR, CCN 044011 Hospital Operational/Managerial Control Apr 13, 2022
Arkansas Veterans Home at FayettevilleFayetteville, AR, CCN 045417 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jul 1, 2006
Arkansas State Veterans Home at North Little RockNorth Little Rock, AR, CCN 045462 Skilled nursing facility Other (100%) Jan 17, 2017

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 53

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 53

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1891808630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055432",
            "telephone_number": "501-686-9000",
            "fax_number": "501-683-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S PALM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055432",
            "telephone_number": "501-686-9000",
            "fax_number": "501-683-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "SCOGGINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "501-686-9000"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "AR",
            "license": "88",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.