Healthcare Provider Details

I. General information

NPI: 1578617791
Provider Name (Legal Business Name): HOWARD MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 MEDICAL CIRCLE
NASHVILLE AR
71852
US

IV. Provider business mailing address

130 MEDICAL CIRCLE
NASHVILLE AR
71852
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-8024
  • Fax: 870-845-8027
Mailing address:
  • Phone: 870-845-8024
  • Fax: 870-845-8027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberAR4577
License Number StateAR

VIII. Authorized Official

Name: WILLIAM JOSEPH CRAIG
Title or Position: CFO
Credential:
Phone: 870-845-8003