Healthcare Provider Details

I. General information

NPI: 1780941625
Provider Name (Legal Business Name): NORTH ARKANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 N SPRING ST STE A
HARRISON AR
72601-2913
US

IV. Provider business mailing address

PO BOX 2990
HARRISON AR
72602-2990
US

V. Phone/Fax

Practice location:
  • Phone: 870-365-0850
  • Fax: 870-365-0862
Mailing address:
  • Phone: 870-414-4000
  • Fax: 870-414-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
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