Healthcare Provider Details

I. General information

NPI: 1043201064
Provider Name (Legal Business Name): NORTH ARKANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E SHERMAN AVE
HARRISON AR
72601-3031
US

IV. Provider business mailing address

PO BOX 1500
HARRISON AR
72602-1500
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4100
  • Fax: 870-414-4789
Mailing address:
  • Phone: 870-414-4100
  • Fax: 870-414-4789

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number3682
License Number StateAR

VIII. Authorized Official

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