NPIMap

Organization Active NPI

Arkansas Methodist Hospital Corporation

Doing business as AMMC Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Paragould, AR
National Provider Identifier
1962644781
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
ARKANSAS METHODIST HOSPITAL CORPORATION
Doing business as
AMMC Pathology
Practice address
900 W Kingshighway
Paragould, AR 72450-5942
Phone
(870) 239-7000
NPI assigned
Mar 25, 2009
Last updated
Jul 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Authorized official

Name
Kay H Scott
Title
Director Revenue Operations
Phone
(870) 239-7126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X AR Primary

Addresses

Primary practice location

900 W Kingshighway
Paragould, AR 72450-5942

Mailing address

900 W Kingshighway
Paragould, AR 72450-5942
Phone (870) 239-7000

Other names 1

  • AMMC Pathology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000938 AR Part B Supplier - Clinic/Group Practice 6608780119 Receives reassigned benefits from 3 practitioners
Practice locations: Paragould, AR

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory

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
Baptist Memorial Hospital - ParagouldParagould, AR, CCN 040039 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999
Baptist Memorial Hospital - ParagouldParagould, AR, CCN 04T039 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999
Baptist Memorial Hospital - Paragould Home HealthParagould, AR, CCN 047004 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999

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 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1962644781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505942",
            "telephone_number": "870-239-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS METHODIST HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR REVENUE OPERATIONS",
        "authorized_official_telephone_number": "870-239-7126"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMMC Pathology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMMC Pathology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.