MEDICARE: EUREKA SPRINGS HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	AR4253	AR

General Provider Information

NPI Number	:	1003916420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EUREKA SPRINGS HOSPITAL

Provider Business Mailing Address
First Line	:	24 NORRIS ST
Second Line	:
City	:	EUREKA SPRINGS
State	:	AR
Zip	:	72632-3541
Country	:	US
Telephone Number	:	479-253-7400
Fax Number	:	479-363-8017

Provider Business Practice Location Address
First Line	:	6 FOREST PARK
Second Line	:	SUITE D & E
City	:	HOLIDAY ISLAND
State	:	AR
Zip	:	72631
Country	:	US
Telephone Number	:	479-253-5554
Fax Number	:	479-253-7708

Authorized Official
Title or Position	:	CEO
Name	:	MR. JAMES D. WHEELER JR.
Credential	:
Telephone Number	:	479-253-7400

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	08/22/2020

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Directions to “EUREKA SPRINGS HOSPITAL ” Practice Location

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