Healthcare Provider Details

I. General information

NPI: 1467852210
Provider Name (Legal Business Name): HOWARD MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MEDICAL CIR
NASHVILLE AR
71852-8606
US

IV. Provider business mailing address

110 MEDICAL CIR
NASHVILLE AR
71852-8606
US

V. Phone/Fax

Practice location:
  • Phone: 870-845-6060
  • Fax: 870-845-6058
Mailing address:
  • Phone: 870-845-6060
  • Fax: 870-845-6058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. WILLIAM JOSEPH CRAIG
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 870-845-8003