Healthcare Provider Details
I. General information
NPI: 1861449639
Provider Name (Legal Business Name): MENA HOSPITAL COMMISSION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
311 N MORROW ST
MENA AR
71953-2516
US
IV. Provider business mailing address
311 N MORROW ST
MENA AR
71953-2516
US
V. Phone/Fax
- Phone: 479-394-6100
- Fax: 479-394-4577
- Phone: 479-394-6100
- Fax: 479-394-4577
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 275N00000X |
| Taxonomy | Medicare Defined Swing Bed Hospital Unit |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | AR4321 |
| License Number State | AR |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282NC0060X |
| Taxonomy | Critical Access Hospital |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282NR1301X |
| Taxonomy | Rural Acute Care Hospital |
| License Number | AR4321 |
| License Number State | AR |
VIII. Authorized Official
Name:
MICHAEL
WOOD
Title or Position: CEO
Credential:
Phone: 479-394-6100