SALINE MEMORIAL HOSPITAL TECHNICAL SERVICES LLC (NPI# 1194027987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194027987 |
| Entity Type | Organization |
| Organization Name | SALINE MEMORIAL HOSPITAL TECHNICAL SERVICES LLC |
| Other Organization Name | COULTER SLEEP CENTER |
| Practice Address |
3 Medical Park Dr Suite 301 Benton AR 72015-3728 |
| Mailing Address |
Po Box 9150 Paducah KY 42002-9150 |
| Practice Telephone | 5013158818 |
| Practice Fax Number | 5013158828 |
| Mailing Telephone | 2707449600 |
| Mailing Fax Number | 2707440834 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-12-13 |
| Authorized Official Name | LARRY DON ALFORD (CFO) |
| Authorized Official Telephone | 5017766000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | AASM ACCREDITATION | 199836 | 01 |
| Other Name | Type Code |
|---|---|
| Coulter Sleep Center | Doing Business As Name - Organization |
| Street Address |
3 MEDICAL PARK DR SUITE 301 |
| City | BENTON |
| State | AR |
| Zip Code | 72015-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774794 | Ophthalmology Associates of Benton, Pllc | Specialist | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2005-07-20 |
| 1073765657 | Rose Jean Fetting | Social Worker | 3 Medical Park Dr, Suite 302 B, Benton, AR 72015-3728 | 2008-10-15 |
| 1871627737 | Jerry W. Dixon, M.d., P.a. | Surgery | 3 Medical Park Dr, Suite 201, Benton, AR 72015-3728 | 2007-03-15 |
| 1043340011 | Mark E Albey | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2007-03-07 |
| 1548398498 | Kirk D Watson | Family Medicine | 3 Medical Park Dr, Suite100, Benton, AR 72015-3728 | 2007-03-01 |
| 1437284189 | James B Cooper | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2007-02-22 |
| 1376684258 | Phillip Suffridge,m.d.,p.a. | Ophthalmology | 3 Medical Park Dr, Suite 300, Benton, AR 72015-3728 | 2007-02-12 |
| 1497812903 | Surgical Associates of Benton | Specialist | 3 Medical Park Dr, Benton, AR 72015-3728 | 2007-01-03 |
| 1013098334 | Samuel D Taggart | Family Medicine | 3 Medical Park Dr, Suite 100, Benton, AR 72015-3728 | 2006-10-17 |
| 1316970148 | Jerry W Dixon | Surgery | 3 Medical Park Dr, 201, Benton, AR 72015-3728 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1093059891 | Sleep Partners, LLC | Clinic/Center | 6 Medical Lane, Conway, AR 72034-4920 | 2012-11-16 |
| 1437427176 | Sleep Partners, LLC | Clinic/Center | 1816 N College Ave, El Dorado, AR 71730-3249 | 2011-12-08 |
| 1528399755 | Northeast Arkansas Clinic Charitable Foundation, Inc. | Clinic/Center | 1118 Windover, Jonesboro, AR 72401-6155 | 2010-01-28 |
| 1780839340 | Pulmonary and Sleep Diagnostics LLC | Clinic/Center | 606 N 5th St Ste A, Blytheville, AR 72315-2404 | 2008-11-24 |
| 1568681211 | Physician's Sleep Institute | Clinic/Center | 4747 Dusty Lake Rd., Suite 204, Pine Bluff, AR 71603 | 2007-04-24 |
| 1659421964 | Susan H. Griffin | Clinic/Center | 106 Ridgeway St Ste B, Hot Springs, AR 71901-7157 | 2007-01-11 |
| 1851494074 | Neurology Clinic of Central Arkansas | Clinic/Center | 11600 Kanis Rd, Ste 700, Little Rock, AR 72211-3727 | 2006-09-06 |
| 1184639627 | Sleep Centers of Arkansas - Searcy LLC | Clinic/Center | 306 East Market St, Searcy, AR 72143 | 2006-07-31 |
| 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.