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BOONEVILLE COMMUNITY HOSPITAL INC. NPI 1073518593


NPI Information

NPI: 1073518593
Provider Name: BOONEVILLE COMMUNITY HOSPITAL, INC.

Other Name: BOONEVILLE COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
880 W MAIN
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800
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BOONEVILLE COMMUNITY HOSPITAL, INC. is a critical access general acute care hospital in Booneville, AR. BOONEVILLE COMMUNITY HOSPITAL, INC. NPI is 1073518593. The provider is registered as an organization entity type.
The provider Other Name Is Booneville Community Hospital.

The provider's business location address is:

880 W MAIN
BOONEVILLE, AR
ZIP 72927
Phone: (479) 675-2800
Fax: (479) 675-3406

The provider's authorized official is James C. Fields .
The authorized official title is Chairman and has the following contact phone number (479) 675-2800.

The enumeration date for this NPI number is 6/21/2005 and was last updated on 3/4/2013.


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
1251E00000XHome HealthAR4155ARKANSASNo
2251E00000XHome HealthAR4627ARKANSASNo
3261QR1300XClinic/CenterRural HealthNo
4273R00000XPsychiatric UnitNo
5275N00000XMedicare Defined Swing Bed UnitNo
6282NC0060XGeneral Acute Care HospitalCritical AccessAR4154ARKANSASYes

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 Other Provider Identifier Issuer
111318OTHERARKANSASBC HOSPITAL
217171OTHERARKANSASBC HHA
3150111105MEDICAIDARKANSAS
4041318MEDICARE OSCAR/CERTIFICATION
5048502MEDICARE OSCAR/CERTIFICATION
6047171MEDICARE OSCAR/CERTIFICATION
7150116765MEDICAIDARKANSAS
8195067729MEDICAIDARKANSAS
9150084757MEDICAIDARKANSAS
10150114514MEDICAIDARKANSAS
11DB4073OTHERRAILROAD MEDICARE PIN
12043491MEDICARE OSCAR/CERTIFICATION
1304M318MEDICARE OSCAR/CERTIFICATION
1404Z318MEDICARE OSCAR/CERTIFICATION
155C893MEDICARE PIN
16150119752MEDICAIDARKANSAS
17154911729MEDICAIDARKANSAS
18136520001MEDICAIDARKANSAS
19150214002MEDICAIDARKANSAS
20770002005MEDICAIDARKANSAS
21150115732MEDICAIDARKANSAS

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.