JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. (NPI# 1154358307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154358307 |
| Entity Type | Organization |
| Organization Name | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. |
| Practice Address |
719 Detroit Street Danville AR 72833-0639 |
| Mailing Address |
Po Box 639 Danville AR 72833-0639 |
| Practice Telephone | 4794952241 |
| Practice Fax Number | 4794956290 |
| Mailing Telephone | 4794952241 |
| Mailing Fax Number | 4794956290 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2013-12-06 |
| Authorized Official Name | MICHAEL SCOTT PEEK (CEO) |
| Authorized Official Telephone | 4794952241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
AR4293 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113073002 | 05 | |
| AR | BLUE CROSS PROV. NUMBER | 57988 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346431384 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 310 West Broadway, Havana, AR 72842-0099 | 2007-08-06 |
| 1942237268 | John Ed Chambers Memorial Hospital, Inc. | Home Health | Hwy 10 East, Danville, AR 72833-0639 | 2006-06-26 |
| 1760418842 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 402 South Scenic 7 Drive, Ola, AR 72853 | 2006-06-23 |
| 1922589472 | John Ed Chambers Memorial Hospital, Inc. | Ambulance | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-08-23 |
| 1073748406 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2009-05-29 |
| 1740217884 | John Ed Chambers Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1902842255 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-22 |
| Street Address |
719 DETROIT STREET |
| City | DANVILLE |
| State | AR |
| Zip Code | 72833-0639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649223033 | Thomas John Tinnesz | Specialist | 719 Detroit Street, Danville, AR 72833 | 2006-05-18 |
| 1073748406 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2009-05-29 |
| 1932314879 | John Ed Chambers Memorial Hospital | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2007-05-14 |
| 1740217884 | John Ed Chambers Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1841227071 | William L Berry | Emergency Medicine | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1902842255 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467916635 | Alexandra Grace Cathey | Occupational Therapy Assistant | 810 Dan Ark Circle, Danville, AR 72833 | 2019-01-22 |
| 1093226151 | Mallory P Fowler | Case Manager/Care Coordinator | 1408 E. 8th St, Danville, AR 72833 | 2017-10-17 |
| 1538565213 | W.p. Malone, Inc. | Pharmacy | 708 E. 8th Street, Danville, AR 72833 | 2014-11-07 |
| 1104171990 | Caring Hearts, Inc. | Case Management | 1408 East 8th Street, Suite C, Danville, AR 72833 | 2012-07-17 |
| 1023380946 | Stewart Blake Scoggin | Physical Therapy Assistant | 719 Detroit St, Chambers Memorial Hospital, Danville, AR 72833 | 2012-02-08 |
| 1447529847 | Amanda J. Swint | Physical Therapy Assistant | 410 Main Stree, Danville, AR 72833 | 2011-12-14 |
| 1114162591 | Natalie Danielle Tarte | Behavioral Analyst | 730 Boston Street, Danville, AR 72833 | 2008-12-12 |
| 1467605113 | Ola Susan Huffmaster Okroglic | Counselor | 730 Boston St, Danville, AR 72833 | 2008-10-28 |
| 1750542221 | Rose Drug of Danville Inc | Durable Medical Equipment & Medical Supplies | 708 E 8th Street, Danville, AR 72833 | 2008-06-18 |
| 1952591489 | Lisa Olsen | Occupational Therapist | 714 N Detroit, Danville, AR 72833 | 2007-07-31 |
| Find all providers in zip 72833 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
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| 1962883520 | Gray-millenbaugh Practitioner Healthcare, LLC | Clinic/Center | 3801 Camden Rd, Chapel Village 1 Suite 12, Pine Bluff, AR 71603-4612 | 2015-06-09 |
| 1811222839 | Southwest Medical Advisors Inc | Clinic/Center | 405 W 16th St, Suite B, Hope, AR 71801-7104 | 2009-10-08 |
| 1033283171 | Associated Healthcare Systems of Randolph County, Inc. | Clinic/Center | 2801 Medical Center Dr, Pocahontas, AR 72455-9436 | 2006-11-20 |
| 1881776987 | University of Arkansas Medical Sciences, Ahec Pine Bluff | Clinic/Center | 4747 Dusty Lake Dr, Ste 203, Pine Bluff, AR 71603-8742 | 2006-10-19 |
| 1346354826 | Ouachita County Medical Center | Clinic/Center | 638 California Ave Sw, Camden, AR 71701-4604 | 2006-08-19 |
| 1447206735 | Magnolia Regional Medical Center | Clinic/Center | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-05-26 |
| 1730137134 | Mercy Hospital Waldron | Clinic/Center | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
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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.