NPIMap

Organization Active NPI

John Ed Chambers Memorial Hospital

  • Rural Acute Care Hospital
  • Danville, AR
National Provider Identifier
1932314879
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
AR4293 Issued in AR
Legal business name
JOHN ED CHAMBERS MEMORIAL HOSPITAL
Practice address
719 Detroit Ave
Danville, AR 72833-9607
Phone
(479) 495-2241
Fax
(479) 495-6290
NPI assigned
May 14, 2007
Last updated
Sep 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Michael Scott Peek
Title
Ceo
Phone
(479) 495-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X AR4293 AR Primary

Addresses

Primary practice location

719 Detroit Ave
Danville, AR 72833-9607

Mailing address

PO Box 639
Danville, AR 72833-0639
Phone (479) 495-2241

Other identifiers 1

IdentifierTypeStateIssuer
119267702MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Chambers Memorial Hospi7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1932314879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728330639",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DETROIT AVE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728339607",
            "telephone_number": "479-495-2241",
            "fax_number": "479-495-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ED CHAMBERS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "PEEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-495-2241"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "AR",
            "license": "AR4293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119267702",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.