Healthcare Provider Details

I. General information

NPI: 1972436764
Provider Name (Legal Business Name): SMC REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W LEE AVE
OSCEOLA AR
72370-3001
US

IV. Provider business mailing address

611 W LEE AVE
OSCEOLA AR
72370-3001
US

V. Phone/Fax

Practice location:
  • Phone: 870-838-7466
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MATT NICHOLS
Title or Position: SOLE MEMBER
Credential:
Phone: 870-838-7466