NPIMap

Organization Active NPI

Bradley County Medical Center

  • Critical Access Hospital
  • Warren, AR
National Provider Identifier
1972620649
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 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
Last updated
Feb 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Authorized official

Name
Mrs. Leslie Huitt
Title
Ceo/Cfo
Phone
(870) 226-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Scott C Claycomb7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Bradley County Medical CenterWarren, AR, CCN 041327 Hospital Operational/Managerial Control (100%) Jun 10, 1997
Bradley County Medical CenterWarren, AR, CCN 04M327 Hospital Operational/Managerial Control (100%) Jan 1, 1966
Bradley County Medical CenterWarren, AR, CCN 04Z327 Hospital Operational/Managerial Control (100%) Oct 31, 2007
Bradley County Medical Center Home Health AgencyWarren, AR, CCN 047140 Home health agency Operational/Managerial Control (100%) Jan 20, 1993
Bradley County Medical Center Rural Health ClinicWarren, AR, CCN 048518 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Oct 1, 1997
Oct 1, 1997

Owned or controlled facilities with NPI records 5

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

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1972620649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-3731",
            "fax_number": "870-226-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S BRADLEY ST",
            "city": "WARREN",
            "state": "AR",
            "postal_code": "716713459",
            "telephone_number": "870-226-3731",
            "fax_number": "870-226-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "HUITT",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "870-226-4031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, AR

Sources for this page

Verify at the official NPI Registry.