Baptist Health

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

BAPTIST HEALTH

Doing business as

Baptist Health Medical Center - Drew County

Practice address

778 Scogin Dr
Monticello, AR 71655-5729

Phone

(870) 460-3539

NPI assigned

Oct 12, 2023

Last updated

Sep 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Troy Wells

Title

President

Phone

(501) 202-2080

Specialties & licenses 2

Addresses

Other names 1

• Baptist Health Medical Center - Drew County Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962283192. Details of each certification follow.

• CCN 040051 Hospital · Active · Details

Hospital certification: CCN 040051

Legal name

BAPTIST HEALTH

Doing business as

BAPTIST HEALTH MEDICAL CENTER - DREW COUNTY

Certification status

Active

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1966

Last certification

Oct 19, 2023

Beds

60

Ownership / control type

Private (not for profit)

Most recent change of ownership

Dec 3, 2023 (2 total)

Organization structure

CorporationNon-profit

Incorporated

Oct 1, 1920 in AR

Enrollment address

778 Scogin Dr
Monticello, AR 71655-5729
Main/Primary Hospital Location

Hospital subgroups

General, Acute care

Related certifications (CCN) 2

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

• Baptist Health

  dba Baptist Health Medical Center - Drew Memorial

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, AR
  • NPI 1598546723
  Provider of Services
• Baptist Health

  dba Baptist Health Medical Center - Drew County

  • Psychiatric Hospital Unit
  • Monticello, AR
  • NPI 1770364903
  Provider of Services

Listed as

Baptist Health Medical Center-Drew CountyCCN 040051 · All quality measures

Overall star rating

2 of 5

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

Yes

Listed as

Baptist Health Medical Center-Drew CountyCCN 04T051

Ownership

Non-profit

Certified

Dec 3, 2023

Tax ID family

Greers Ferry Rural Heal59 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Arkadelphia, AR
  • NPI 1770695330
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Bismarck

  • Rural Health Clinic/Center
  • Bismarck, AR
  • NPI 1780094201
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Perryville

  • Rural Health Clinic/Center
  • Perryville, AR
  • NPI 1790578219
  NPD tax ID
• Baptist Health

  dba Baptist Health Heber Springs - Campus Clinic

  • Rural Health Clinic/Center
  • Heber Springs, AR
  • NPI 1811388457
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Lonoke

  • Rural Health Clinic/Center
  • Lonoke, AR
  • NPI 1811796147
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic Gurdon

  • Rural Health Clinic/Center
  • Gurdon, AR
  • NPI 1841598919
  NPD tax ID
• Baptist Health

  dba BH Arkadelphia Medical Clinic

  • Rural Health Clinic/Center
  • Arkadelphia, AR
  • NPI 1861018111
  NPD tax ID
• Baptist Health

  dba Baptist Health Cancer Clinic - Drew County

  • Medical Oncology Physician
  • Monticello, AR
  • NPI 1861266793
  NPD tax ID
• Baptist Health

  dba Baptist Health Behavioral Services

  • Clinical Social Worker
  • Little Rock, AR
  • NPI 1902131881
  NPD tax ID
• Baptist Health

  dba Baptist Health Family Clinic - Magnolia

  • Rural Health Clinic/Center
  • Magnolia, AR
  • NPI 1902736192
  NPD tax ID
• Baptist Health

  dba BMCA Ambulance Service

  • Land Ambulance
  • Arkadelphia, AR
  • NPI 1912937533
  NPD tax ID
• Baptist Health

  dba BH Cancer Center - Heber Springs

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221
  NPD tax ID

Locations

All disclosed owners & managing parties 20

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

All facility ownership & control disclosures 50

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

Facilities with the same owner 50

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

• Baptist Health

  dba Baptist Health Family Clinic Greers Ferry

  • Rural Health Clinic/Center
  • Greers Ferry, AR
  • NPI 1003821703

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Heber Springs, AR
  • NPI 1033213632

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Little Rock

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682

  Baptist Health

  CMS ownership
• Baptist Health

  • Rural Health Clinic/Center
  • Heber Springs, AR
  • NPI 1104268689

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Sheridan

  • Rural Health Clinic/Center
  • Sheridan, AR
  • NPI 1114792157

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Home Health Network

  • Home Health Agency
  • Little Rock, AR
  • NPI 1134225451

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Hospice

  • Community Based Hospice Care Agency
  • Little Rock, AR
  • NPI 1164526554

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Medical Center-Arkadelphia

  • Critical Access Hospital
  • Arkadelphia, AR
  • NPI 1174553796

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Rehabilitation Institute

  • Rehabilitation Hospital
  • Little Rock, AR
  • NPI 1215967831

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Medical Center-Psych

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1255377420

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Ouachita Valley Family Clinic

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1366279424

  Baptist Health

  CMS ownership
• Baptist Health

  dba Baptist Health Family Clinic - Beebe

  • Rural Health Clinic/Center
  • Beebe, AR
  • NPI 1376336883

  Baptist Health

  CMS ownership

Affiliated clinicians 151

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

• Eyad Abochale, M.D.

  • Pulmonary Disease Physician
  • Little Rock, AR
  • NPI 1376577387

  Hospital

  Care Compare affiliation
• Audie Ray Aderholt III, M.D.

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1366861601

  Hospital

  Care Compare affiliation
• Mohanned Hassan Mohammed Ahmed, M.D.

  • Family Medicine Physician
  • Pine Bluff, AR
  • NPI 1053725499

  Hospital

  Care Compare affiliation
• Fareeda Ann Al Refai, M.D.

  • Diagnostic Radiology Physician
  • Fort Smith, AR
  • NPI 1497735047

  Hospital

  Care Compare affiliation
• Ali Al-Nashif, M.D.

  • Pulmonary Disease Physician
  • White Hall, AR
  • NPI 1699731430

  Hospital

  Care Compare affiliation
• Maher Alesali, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • White Hall, AR
  • NPI 1801901509

  Hospital

  Care Compare affiliation
• Tamer Alsebai, M.D.

  • Rheumatology Physician
  • Little Rock, AR
  • NPI 1528091071

  Hospital

  Care Compare affiliation
• Anil Anandam, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1801101431

  Hospital

  Care Compare affiliation
• Emily Askew

  • Internal Medicine Physician
  • North Little Rock, AR
  • NPI 1134680317

  Hospital

  Care Compare affiliation
• Robert Warren Balentine Jr., M.D.

  • Family Medicine Physician
  • Conway, AR
  • NPI 1609927706

  Hospital

  Care Compare affiliation
• Drew Beasley, MD

  • Pain Medicine (Anesthesiology) Physician
  • Little Rock, AR
  • NPI 1962821868

  Hospital

  Care Compare affiliation
• Courtney Dunagan Bethea, PA

  • Physician Assistant
  • Little Rock, AR
  • NPI 1538634837

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1962283192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056321",
            "telephone_number": "501-202-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 SCOGIN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555729",
            "telephone_number": "870-460-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-202-2080"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Baptist Health Medical Center - Drew County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Health Medical Center - Drew County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Baptist Health (Baptist Health Medical Center - Drew Memorial)
• Baptist Health (Baptist Health Intensive Outpatient Behavioral Services - Drew County)
• Baptist Health (Baptist Health Home Health Network- Drew County)
• Baptist Health (Baptist Health Medical Center - Drew County)
• Baptist Health (Baptist Health Cancer Clinic - Drew County)
• Pellie Barnes
• Amanda Bates
• Benevolent Care LLC
• Daniel Bergeron, LPC
• BHC Pinnacle Pointe Healthcare (Pinnacle Pointe Outpatient)

• General Acute Care Hospital in Monticello, AR
• Providers in Monticello, AR by specialty
• General Acute Care Hospital in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.