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
1	251E00000X	Home Health		AR4155	ARKANSAS	No
2	251E00000X	Home Health		AR4627	ARKANSAS	No
3	261QR1300X	Clinic/Center	Rural Health			No
4	273R00000X	Psychiatric Unit				No
5	275N00000X	Medicare Defined Swing Bed Unit				No
6	282NC0060X	General Acute Care Hospital	Critical Access	AR4154	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	Other Provider Identifier Issuer
1	11318	OTHER	ARKANSAS	BC HOSPITAL
2	17171	OTHER	ARKANSAS	BC HHA
3	150111105	MEDICAID	ARKANSAS
4	041318	MEDICARE OSCAR/CERTIFICATION
5	048502	MEDICARE OSCAR/CERTIFICATION
6	047171	MEDICARE OSCAR/CERTIFICATION
7	150116765	MEDICAID	ARKANSAS
8	195067729	MEDICAID	ARKANSAS
9	150084757	MEDICAID	ARKANSAS
10	150114514	MEDICAID	ARKANSAS
11	DB4073	OTHER		RAILROAD MEDICARE PIN
12	043491	MEDICARE OSCAR/CERTIFICATION
13	04M318	MEDICARE OSCAR/CERTIFICATION
14	04Z318	MEDICARE OSCAR/CERTIFICATION
15	5C893	MEDICARE PIN
16	150119752	MEDICAID	ARKANSAS
17	154911729	MEDICAID	ARKANSAS
18	136520001	MEDICAID	ARKANSAS
19	150214002	MEDICAID	ARKANSAS
20	770002005	MEDICAID	ARKANSAS
21	150115732	MEDICAID	ARKANSAS

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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