Healthcare Provider Details

I. General information

NPI: 1619633351
Provider Name (Legal Business Name): NORTH ARKANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 W ERIE AVE
HARRISON AR
72601-3539
US

IV. Provider business mailing address

PO BOX 2990
HARRISON AR
72602-2990
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4599
  • Fax: 870-741-4431
Mailing address:
  • Phone: 870-414-4599
  • Fax: 870-414-4431

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number State

VIII. Authorized Official

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