MEDICARE: NORTH ARKANSAS REGIONAL MEDICAL CENTER

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	282N00000X	General Acute Care Hospital	AR4480	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	10017	OTHER	AR	BLUE CROSS BLUE SHEILD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275523912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH ARKANSAS REGIONAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	620 N MAIN ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2911
Country	:	US
Telephone Number	:	870-414-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	620 N MAIN ST
Second Line	:
City	:	HARRISON
State	:	AR
Zip	:	72601-2911
Country	:	US
Telephone Number	:	870-414-5000
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE/CFO
Name	:	ANDREA SMITH
Credential	:
Telephone Number	:	870-414-5159

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	02/07/2025

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