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ST. ANTHONY'S HOSPITAL ASSOCIATION NPI 1215915459


NPI Information

NPI: 1215915459
Provider Name: ST. ANTHONY'S HOSPITAL ASSOCIATION

Doing Business As: CHI ST. VINCENT PRIMARY CARE-MORRILTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 04D0466470

Address:
1711 E HARDING ST
MORRILTON, AR
ZIP 72110
Phone: (501) 354-4637
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ST. ANTHONY'S HOSPITAL ASSOCIATION is a rural health clinic center in Morrilton, AR. ST. ANTHONY'S HOSPITAL ASSOCIATION NPI is 1215915459. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chi St. Vincent Primary Care-morrilton.

The provider's business location address is:

1711 E HARDING ST
MORRILTON, AR
ZIP 72110-507
Phone: (501) 354-4637
Fax: (501) 552-5326

The provider's authorized official is Tiffany R Hogan .
The authorized official title is Practice Manager and has the following contact phone number (501) 354-4637.

The CLIA number assigned to this NPI record is 04D0466470 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/6/2006 and was last updated on 9/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineC5434ARKANSASNo
2207RC0000XInternal MedicineCardiovascular DiseaseN5860ARKANSASNo
3363LF0000XNurse PractitionerFamilyA01404ARKANSASNo
4261QR1300XClinic/CenterRural HealthARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1134783729MEDICAIDARKANSAS

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

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