NPIMap

Organization Active NPI

Dewitt Hospital & Nursing Home, Inc.

  • Rural Acute Care Hospital
  • De Witt, AR
National Provider Identifier
1972586238
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
DEWITT HOSPITAL & NURSING HOME, INC.
Practice address
1641 S Whitehead Dr
De Witt, AR 72042-2994
Phone
(870) 946-3571
Fax
(870) 946-4577
NPI assigned
Nov 21, 2005
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Mr. Brian Miller
Title
Adm., Ceo
Phone
(870) 946-3571

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X AR4093 AR
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

1641 S Whitehead Dr
De Witt, AR 72042-2994

Mailing address

1641 S Whitehead Dr
P.O. Box 32
De Witt, AR 72042-2994
Phone (870) 946-3571

Other practice location 1

705 W 16th St
DE Witt, AR 72042-3414
Phone (870) 946-1326

Other identifiers 5

IdentifierTypeStateIssuer
11314OtherARAR BCBS
150147754MedicaidAR
146780105MedicaidAR
146913002MedicaidAR
146782715MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040505001357 AR Part B Supplier - Clinic/Group Practice 2961307616 Receives reassigned benefits from 10 practitioners
Practice locations: De Witt, AR
O20070823000459 AR Part A Provider - Skilled Nursing Facility 2961307616 Practice locations: Dewitt, AR
O20240501000139 AR Part A Provider - Rural Emergency Hospital (Reh) 2961307616 Practice locations: Dewitt, AR

NPI to CCN mapping 4

The Medicare certification numbers (CCNs) connected to NPI 1972586238. Details of each certification follow.

Skilled nursing facility certification: CCN 045365

Legal name
DEWITT HOSPITAL & NURSING HOME INC
Doing business as
DEWITT NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 20, 2001
Last certification
Sep 12, 2024
Beds
60
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 12, 2002 in AR
Enrollment address
1605 S. Madison St., Box 428
Dewitt Hospital & Nursing Home Inc.
Dewitt, AR 72042-3073
Nursing home name
DEWITT NURSING HOME

Hospital certification: CCN 040783

Legal name
DEWITT HOSPITAL & NURSING HOME INC
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
May 27, 2024
Last certification
Jan 29, 2025
Beds
1
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1641 S Whitehead Dr Box 32
Dewitt Hospital & Nursing Home Inc
Dewitt, AR 72042-2994
Other Hospital Practice Location

Hospital certification: CCN 040064

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DEWITT CITY HOSPITAL
Certification status
Terminated Other: provider status change, Oct 31, 2001
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 21, 2001
Beds
25
Ownership / control type
Local
Facility address
1641 Whitehead Drive
De Witt, AR 72042

Hospital certification: CCN 041314

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DEWITT HOSPITAL & NURSING HOME, INC
Certification status
Terminated Other: provider status change, May 26, 2024
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2001
Last certification
Jun 15, 2023
Beds
25
Ownership / control type
Private (not for profit)
Facility address
1641 Whitehead Drive
De Witt, AR 72042

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Dewitt Hospital & Nursing Home, IncCCN 040783 · All quality measures
Type
Rural Emergency Hospital
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Nursing home

Medicare Care Compare
Listed as
Dewitt Nursing HomeCCN 045365 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Mar 20, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6037.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2191054Dewitt Nursing Home1605 S Madison, De Witt, AR 72042Certificate of waiverAug 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1203 S Whitehead Dr
Dewitt, AR 72042
Phone (870) 946-2301

1605 S Madison St
#428
Dewitt, AR 72042
Phone (870) 946-3571

1641 S Whitehead Dr
#32
Dewitt, AR 72042
Phone (870) 946-3571

705 W 16th St
Dewitt, AR 72042
Phone (870) 946-1326

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Hannah Turner Individual W-2 Managing Employee Feb 1, 2021
Warren Jennings Individual Corporate DirectorBoard Member May 1, 2014
Corporate Director May 1, 2014
Carole Dumond Individual Corporate DirectorDirector Jan 23, 2022
Howard Watts Individual Corporate DirectorBoard Member Sep 1, 2016
Corporate Director Sep 1, 2016
Brian Miller Individual Corporate OfficerCfo Jan 28, 2019
Stanley W Burleson Individual Corporate DirectorBoard Member Mar 28, 2002
Rick Duffield Individual Corporate DirectorSecretary May 1, 2014
Corporate Officer Aug 1, 2017
David Jessup Individual Corporate DirectorChairman Board Member Mar 28, 2002
W-2 Managing Employee Dec 10, 2018
Dewitt Hospital & Nursing Home Inc Organization, Dewitt, AR Non-profit Operational/Managerial Control Aug 16, 2007
Janet Cox Individual W-2 Managing EmployeeMedicare Biller Mar 28, 2002
Brandon Cotten Individual Corporate DirectorCfo Apr 28, 2016
W-2 Managing EmployeeCfo Apr 28, 2016

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Dewitt Hospital & Nursing Home IncDewitt, AR, CCN 043486 Rural health clinic Operational/Managerial Control Aug 29, 2007

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1972586238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 S WHITEHEAD DR",
            "address_2": "P.O. BOX 32",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422994",
            "telephone_number": "870-946-3571",
            "fax_number": "870-946-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 S WHITEHEAD DR",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422994",
            "telephone_number": "870-946-3571",
            "fax_number": "870-946-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W 16th St",
            "address_purpose": "LOCATION",
            "city": "DE Witt",
            "state": "AR",
            "postal_code": "720423414",
            "country_code": "US",
            "telephone_number": "870-946-1326",
            "fax_number": "870-946-4335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEWITT HOSPITAL & NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADM., CEO",
        "authorized_official_telephone_number": "870-946-3571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "AR",
            "license": "AR4093",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS",
            "identifier": "11314",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150147754",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146780105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146913002",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146782715",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, AR

Sources for this page

Verify at the official NPI Registry.