Healthcare Provider Details

I. General information

NPI: 1104041698
Provider Name (Legal Business Name): ST. ANTHONY'S HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HOSPITAL DR
MORRILTON AR
72110-4510
US

IV. Provider business mailing address

4 HOSPITAL DR
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 TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberAR4313
License Number StateAR

VIII. Authorized Official

Name: MR. HERBERT F CRUM
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 501-977-2300