Bradley County Medical Center
Organization Active NPI Critical Access Hospital · Warren, AR
NPI 1972620649 · NPPES record last updated Feb 26, 2025
Key facts
- NPI
- 1972620649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- BRADLEY COUNTY MEDICAL CENTER
- Practice address
- 404 S Bradley St
Warren, AR 71671-3459 - Phone
- (870) 226-3731
- Fax
- (870) 226-4300
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Leslie Huitt
- Title
- Ceo/Cfo
- Phone
- (870) 226-4031
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 6
Practitioners 26
-
Michael Aziz, MD
-
Bradley Newton Biggers, M.D.
-
Althea T Conley, MD., PH.D.
-
April Nicole Harris, FNP-C APRN
-
Madhulika Krish, MD
-
Patrick Mbawuike, MD
-
Leisa Renee Spence, M.D
-
Cimenga M Tshibaka, M.D.
-
Tiffany Wargo, APRN
-
Nasir Zareen, M.D.
-
Samuel H Arnold III, D O
-
Salman F Hashmi, MD
-
Khaled Hassan, MD
-
Chizoba Usuwa, MD
-
Ladonna Dichelle George, M.D.
-
Omololu Longe, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Bradley County Medical Center |
Hospital | Operational/Managerial Control (100%) | Jun 10, 1997 |
| Bradley County Medical Center |
Hospital | Operational/Managerial Control (100%) | Jan 1, 1966 |
| Bradley County Medical Center |
Hospital | Operational/Managerial Control (100%) | Oct 31, 2007 |
| Bradley County Medical Center Home Health Agency |
Home health agency | Operational/Managerial Control (100%) | Jan 20, 1993 |
| Bradley County Medical Center Rural Health Clinic |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Oct 1, 1997 Oct 1, 1997 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040105000148 | AR | Part B Supplier - Clinic/Group Practice | 2961316112 |
Receives reassigned benefits from 25 practitioners 3 other NPIs on this enrollment Practice locations: Warren, AR |
National Provider Directory
- Tax ID family
- Bradley County Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
404 S Bradley St
Warren, AR 71671-3459
Mailing address
404 S Bradley St
Warren, AR 71671-3459
Phone (870) 226-3731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AR5943 | Other | AR | HOSPITAL LICENSURE |
Other providers in Warren, AR
- Bradley County Medical Center
- Bradley County Medical Center
- Bradley County Medical Center
- Bradley County Medical Center
- Bradley County Medical Center
- Larissa Monae Brown
- Raymond H Brown Jr.
- Donnie Bryant
- Julie Bryant
- Camcade Imaging Inc
All providers in Warren, AR · Critical Access Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.