Healthcare Provider Details
I. General information
NPI: 1013907682
Provider Name (Legal Business Name): NORTH ARKANSAS REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2005
Last Update Date: 10/28/2024
Certification Date: 10/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1000 N MAIN ST
HARRISON AR
72601
US
IV. Provider business mailing address
PO BOX 1500
HARRISON AR
72602-2911
US
V. Phone/Fax
- Phone: 870-414-4000
- Fax:
- Phone: 870-414-4000
- Fax: 870-414-4789
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | AR4480 |
| License Number State | AR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | AR3203 |
| License Number State | AR |
VIII. Authorized Official
Name: MRS.
ANDREA
SMITH
Title or Position: VP FINANCE/CFO
Credential:
Phone: 870-414-5157