ST. MARY - ROGERS MEMORIAL HOSPITAL DBA FRIENDS HOUSE NPI 1174588784

NPI Information

NPI: 1174588784
Provider Name: ST. MARY - ROGERS MEMORIAL HOSPITAL DBA FRIENDS HOUSE
Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
1200 W WALNUT ST
ROGERS, AR
ZIP 72756
Phone: (479) 636-0200
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ST. MARY - ROGERS MEMORIAL HOSPITAL DBA FRIENDS HOUSE is a respite care in Rogers, AR. ST. MARY - ROGERS MEMORIAL HOSPITAL DBA FRIENDS HOUSE NPI is 1174588784. The provider is registered as an organization entity type.

The provider's business location address is:

1200 W WALNUT ST
ROGERS, AR
ZIP 72756-546
Phone: (479) 636-0200
Fax: (479) 986-3469

The provider's authorized official is Kenneth C Robinson .
The authorized official title is Chief Financial Officer and has the following contact phone number (479) 936-2843.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		040	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0866460	MEDICAID	OHIO
2	1765261	MEDICAID	LOUISIANA
3	0987149	MEDICAID	IOWA
4	95007597	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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