Healthcare Provider Details

I. General information

NPI: 1891778049
Provider Name (Legal Business Name): ST ANTHONY'S HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 05/30/2024
Certification Date: 05/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HOSPITAL DR
MORRILTON AR
72110-4510
US

IV. Provider business mailing address

4 HOSPITAL DRIVE
MORRILTON AR
72110-4510
US

V. Phone/Fax

Practice location:
  • Phone: 501-977-2300
  • Fax: 501-977-2256
Mailing address:
  • Phone: 501-977-2300
  • Fax: 501-977-2256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberAR4313
License Number StateAR

VIII. Authorized Official

Name: BOB STEARNES
Title or Position: DIRECTOR REVENUE CYCLE
Credential:
Phone: 501-552-3171