Organization Active NPI

The Public Building Authority of the City of Pocahontas Arkansas

  • Medicare Defined Swing Bed Hospital Unit
  • Pocahontas, AR
National Provider Identifier
1962698993
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS
Practice address
2801 Medical Center Dr
Pocahontas, AR 72455-9436
Phone
(318) 226-8202
Fax
(318) 226-8205
NPI assigned
Sep 24, 2007
Organization subpart
Yes
Parent organization
THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mr. Rock Bordelon
Title
Ceo
Phone
(318) 226-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

2801 Medical Center Dr
Pocahontas, AR 72455-9436

Mailing address

504 Texas St Ste 200
Shreveport, LA 71101-3526
Phone (318) 226-8202

National Provider Directory

National Provider Directory
Tax ID family
Five Rivers Medical Center4 organizations share this tax ID, including this one
Part of
Public Building Authority of the City of Pocahontas Arkansas

Other organizations with this tax ID 3

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1962698993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 TEXAS ST STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013526",
            "telephone_number": "318-226-8202",
            "fax_number": "318-226-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEDICAL CENTER DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724559436",
            "telephone_number": "318-226-8202",
            "fax_number": "318-226-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PUBLIC BUILDING AUTHORITY OF THE CITY OF POCAHONTAS ARKANSAS",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "BORDELON",
        "authorized_official_first_name": "ROCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-226-8202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.