CROSSETT HEALTH FOUNDATION NPI 1952308215

NPI Information

NPI: 1952308215
Provider Name: CROSSETT HEALTH FOUNDATION

Doing Business As: ASHLEY COUNTY MEDICAL CENTER

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

Specialization: Critical Access

CLIA Number: 04D0701990

Address:
1015 UNITY RD
CROSSETT, AR
ZIP 71635
Phone: (870) 364-4111
Get Directions

CROSSETT HEALTH FOUNDATION is a critical access general acute care hospital in Crossett, AR. CROSSETT HEALTH FOUNDATION NPI is 1952308215. The provider is registered as an organization entity type.
The provider Is Doing Business As Ashley County Medical Center.

The provider's business location address is:

1015 UNITY RD
CROSSETT, AR
ZIP 71635-443
Phone: (870) 364-4111
Fax: (870) 364-3636

The provider's authorized official is Phillip K Gilmore .
The authorized official title is Ceo and has the following contact phone number (870) 364-1271.

The CLIA number assigned to this NPI record is 04D0701990 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 3/7/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	AR4238	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	56897	OTHER	ARKANSAS	MEDICARE & BC PHYSICIAN #
2	100985002	MEDICAID	ARKANSAS
3	10024	OTHER	ARKANSAS	BLUE CROSS PROVIDER #
4	100953105	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

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