Crittenden Hospital Association

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AR4085 Issued in AR

Legal business name

CRITTENDEN HOSPITAL ASSOCIATION

Doing business as

Crittenden Regional Hospital Home Health-Osceola

Practice address

109 N Walnut St
Osceola, AR 72370-2517

Phone

(870) 563-3755

Fax

(870) 563-3840

NPI assigned

Jun 1, 2006

Last updated

Aug 15, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CRITTENDEN HOSPITAL ASSOCIATIONAs reported in NPPES

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

Authorized official

Name

Mr. James R Carter

Title

Ceo

Phone

(870) 735-1500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crittenden Regional Hospital Home Health-Osceola Doing business as

Part of

Riverside Clinic

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1902843857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N WALNUT ST",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702517",
            "telephone_number": "870-563-3755",
            "fax_number": "870-563-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N WALNUT ST",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702517",
            "telephone_number": "870-563-3755",
            "fax_number": "870-563-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRITTENDEN HOSPITAL ASSOCIATION",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-735-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17123",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crittenden Regional Hospital Home Health-Osceola",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• CJMH, LLC (Arkansas Eye Site)
• Byron Royce Collins, MHPP
• Vickie Cook
• Terry Mae Cooper, LCSW
• Ollie Cox III, L.A.C.
• Ivory V Crockett, QBHP
• Kimberly M Crosskno, APRN
• Delberta Sue Crossno, MHPP
• Edward Cullins, MHPP
• Sumner R Cullom, M.D.

• Home Health Agency in Osceola, AR
• Providers in Osceola, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.