JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC (NPI# 1275029480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275029480 |
Entity Type | Organization |
Organization Name | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC |
Other Organization Name | CHAMBERS MEMORIAL HOSPITAL |
Practice Address |
719 Detroit Ave Danville AR 72833-9607 |
Mailing Address |
Po Box 639 Danville AR 72833-0639 |
Practice Telephone | 4794952241 |
Practice Fax Number | 4794956299 |
Mailing Telephone | 4794952241 |
Mailing Fax Number | 4794956299 |
Enumeration Date | 2018-07-11 |
Last Update Date | 2018-10-19 |
Authorized Official Name | PAULA MICHAELLE CORNWELL (OFFICE MANAGER) |
Authorized Official Telephone | 4794952241 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | Hospital Units |
Other Name | Type Code |
---|---|
Chambers Memorial Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871852434 | John Ed Chambers Memorial Hospital, Inc | Clinic/Center | 102 North Garfield Avenue, Plainview, AR 72857 | 2012-05-16 |
Street Address |
719 DETROIT AVE |
City | DANVILLE |
State | AR |
Zip Code | 72833-9607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073540084 | William A Isely | Family Medicine | 719 Detroit Ave, Danville, AR 72833-9607 | 2006-06-26 |
1881206654 | Meagan Briggler | Speech-Language Pathologist | 719 Detroit Ave, Danville, AR 72833-9607 | 2020-08-21 |
1427666346 | Pamela Lou Hebert | Nurse Practitioner | 719 Detroit Ave, Danville, AR 72833-9607 | 2020-07-16 |
1174148936 | Jacob Lee Oliver | Speech-Language Pathologist | 719 Detroit Ave, Danville, AR 72833-9607 | 2020-06-08 |
1275168130 | Morgan Lynne Mcconnell | Nurse Practitioner | 719 Detroit Ave, Danville, AR 72833-9607 | 2020-03-10 |
1477100071 | Annakate Spotts | Speech-Language Pathologist | 719 Detroit Ave, Danville, AR 72833-9607 | 2019-08-20 |
1922589472 | John Ed Chambers Memorial Hospital, Inc. | Ambulance | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-08-23 |
1821538125 | Joshua Manatt | Physician Assistant | 719 Detroit Ave, Danville, AR 72833-9607 | 2017-03-06 |
1437698735 | Shannon Golden | Nurse Practitioner | 719 Detroit Ave, Danville, AR 72833-9607 | 2017-02-20 |
1073051249 | Sherry Lynn Loyd | Nurse Practitioner | 719 Detroit Ave, Danville, AR 72833-9607 | 2017-02-07 |
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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 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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1871091355 | University of Arkansas for Medical Sciences | Psychiatric Unit | 3001 W Roosevelt Rd, Little Rock, AR 72204-5658 | 2018-01-30 |
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1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
1659421527 | Veterans Hospital North Little Rock | Psychiatric Unit | 2713 Janet, Benton, AR 72015-2671 | 2007-01-11 |
1710931985 | Jefferson Hospital Association Inc | Psychiatric Unit | 1600 W. 40th Avenue, Pine Bluff, AR 71603-6301 | 2006-05-20 |
1063407138 | Washington Regional Medical Center | Psychiatric Unit | 1125 N College Ave, Fayetteville, AR 72703-1908 | 2005-09-15 |
1710442801 | St Vincent Infirmary Medical Center | Psychiatric Unit | 2 Saint Vincent Cir, Little Rock, AR 72205-5423 | 2019-02-04 |
1477039782 | Baptist Health Regional Hospitals | Psychiatric Unit | 1001 Towson Ave, Fort Smith, AR 72901-4921 | 2018-07-19 |
1851761837 | Baptist Health Hospitals | Psychiatric Unit | 1703 N Buerkle St, Stuttgart, AR 72160-3153 | 2015-10-02 |
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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.