Healthcare Provider Details

I. General information

NPI: 1154809051
Provider Name (Legal Business Name): NORTH ARKANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HWY 62 65 N STE 110
HARRISON AR
72601-1700
US

IV. Provider business mailing address

PO BOX 2990
HARRISON AR
72602-2990
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4022
  • Fax: 870-414-2023
Mailing address:
  • Phone: 870-414-4022
  • Fax: 870-414-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREA SMITH
Title or Position: VP FINANCE/CFO
Credential:
Phone: 870-414-4285