Healthcare Provider Details

I. General information

NPI: 1275104226
Provider Name (Legal Business Name): EUREKA SPRINGS HOSPITAL COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2021
Last Update Date: 07/09/2021
Certification Date: 07/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NORRIS ST
EUREKA SPRINGS AR
72632-3508
US

IV. Provider business mailing address

24 NORRIS ST
EUREKA SPRINGS AR
72632-3541
US

V. Phone/Fax

Practice location:
  • Phone: 479-253-1300
  • Fax: 479-363-8017
Mailing address:
  • Phone: 479-253-7400
  • Fax: 479-363-8017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JODI EDMONDSON
Title or Position: HR DIRECTOR
Credential:
Phone: 479-253-7400