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General NPI Number Information
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NPI Number | 1902842255
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Entity Type | Organization
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Legal Business Name | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 719 DETROIT AVE
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City | DANVILLE
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State | AR
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Zip | 72833-9607
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Country | US
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Telephone | 479-495-2241
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Fax | 479-495-6290
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Provider Business Mailing Address
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Address Line | PO BOX 639
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City | DANVILLE
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State | AR
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Zip | 72833-0639
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Country | US
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Telephone | 479-495-2241
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Fax | 479-495-6290
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL SCOTT PEEK
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Credential |
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Telephone | 479-495-2241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | AR4293
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License Number State | AR
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