JOHNSON REGIONAL MEDICAL CENTER (NPI# 1134116049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134116049 |
| Entity Type | Organization |
| Organization Name | JOHNSON REGIONAL MEDICAL CENTER |
| Practice Address |
1100 E Poplar St Clarksville AR 72830-4419 |
| Mailing Address |
Po Box 738 Clarksville AR 72830-0738 |
| Practice Telephone | 4797545454 |
| Mailing Telephone | 4797545454 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2013-09-06 |
| Authorized Official Name | MR. ROBERT LARRY MORSE (ADMINISTRATOR) |
| Authorized Official Telephone | 4797545454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 3028 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 128851105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557226 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2015-05-14 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1801124177 | Johnson Regional Medical Center | Orthopaedic Surgery | 1 Medicine Dr, Clarksville, AR 72830-4431 | 2009-11-25 |
| 1275753881 | Johnson Regional Medical Center | Ambulance | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2007-04-26 |
| 1275558710 | Johnson Regional Medical Center | Surgery | 2 Medicine Dr, Clarksville, AR 72830-4431 | 2006-07-13 |
| 1255380416 | Johnson Regional Medical Center | Home Health | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1265481337 | Johnson Regional Medical Center | Psychiatric Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1841249943 | Johnson Regional Medical Center | Rehabilitation Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1134178130 | Johnson Regional Medical Center | Medicare Defined Swing Bed Unit | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-08 |
| 1336198555 | Johnson Regional Medical Center | Family Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2006-05-06 |
| Street Address |
1100 E POPLAR ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| 1205226925 | Jesalyn Dove Wilson | Physician Assistant | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-02-02 |
| 1568704765 | Arkansas Em-i Byrne Medical Services, Pa | Physician Assistant | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-26 |
| 1871835678 | Will Spada Creek Emergency Physicians | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1952643686 | Spada Creek Emergency Physicians, LLC | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-03-20 |
| 1013255777 | Access Family Medicine, Inc. | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-30 |
| 1447597265 | Johnson Regional Medical Center | Hospitalist | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2013-01-14 |
| 1750635249 | Nola Diane Hays | Nurse Practitioner | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-11-05 |
| 1710251418 | Laurie Smith Fisher, M.d., Inc | Clinic/Center | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2012-02-28 |
| 1700012184 | Contemporary Healthcare for Women | Obstetrics & Gynecology | 1100 E Poplar St, Suite A, Clarksville, AR 72830-4419 | 2009-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275992091 | Ashley Marie Howell | General Acute Care Hospital | 10643 Bob Short, Clarksville, OH 45113-9604 | 2016-02-22 |
| 1346532306 | Vanderbilt Hospital | General Acute Care Hospital | 4450 Ironhorse Way, Clarksville, TN 37040-5457 | 2011-05-10 |
| 1760659205 | Kentuckiana Medical Center LLC | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2008-05-14 |
| 1700978194 | Billy T Hall | General Acute Care Hospital | 421 Stonemeadow Rd, Clarksville, TN 37043-2204 | 2006-09-29 |
| 1235767815 | Norton Healthcare-indiana Inc | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1285005140 | Conway Community Services | General Acute Care Hospital | 1555 Exchange Avenue, Conway, AR 72032 | 2015-10-16 |
| 1770959017 | Tennessee Valley Health Care System | General Acute Care Hospital | 18 Point West Cv, Little Rock, AR 72211-3371 | 2015-08-20 |
| 1629455662 | Andrea Perkins | General Acute Care Hospital | 118 Essex St, Hot Springs, AR 71913-5845 | 2015-04-29 |
| 1558748657 | Marie Lauren Hatfield | General Acute Care Hospital | 1753 College Ave, Suite 100, Fayetteville, AR 72703 | 2015-04-28 |
| 1942624465 | Cheryl Friday | General Acute Care Hospital | 204 River Ridge Pt, Little Rock, AR 72227-1500 | 2014-02-05 |
| 1356773493 | Arkansas Continued Care Hospital of Jonesboro, LLC | General Acute Care Hospital | 3024 Red Wolf Blvd Ste 1, Jonesboro, AR 72401-7415 | 2013-07-31 |
| 1558612309 | Emilee Erin Phillips | General Acute Care Hospital | 3401 W Markham St., Little Rock, AR 72205 | 2012-09-19 |
| 1144590522 | St. Vincent Infirmary Medical Center | General Acute Care Hospital | 10100 Kanis Road, Little Rock, AR 72205 | 2012-01-03 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.