Healthcare Provider Details

I. General information

NPI: 1114846557
Provider Name (Legal Business Name): ST VINCENT INFIRMARY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 E HARDING ST
MORRILTON AR
72110-4507
US

IV. Provider business mailing address

1711 E HARDING ST
MORRILTON AR
72110-4507
US

V. Phone/Fax

Practice location:
  • Phone: 501-354-4637
  • Fax:
Mailing address:
  • Phone: 501-354-4637
  • Fax:

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 Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CHAD ADUDDELL
Title or Position: MARKET CEO
Credential:
Phone: 501-552-3906