JOHNSON REGIONAL MEDICAL CENTER (NPI# 1275753881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275753881 |
Entity Type | Organization |
Organization Name | JOHNSON REGIONAL MEDICAL CENTER |
Other Organization Name | JRMC AMBULANCE |
Practice Address |
1100 E Poplar St Clarksville AR 72830-4419 |
Practice Telephone | 4797546600 |
Mailing Telephone | 4797545454 |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |
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 | 3416L0300X |
Ambulance Specialization: Land Transport |
827 | AR | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BX PROVIDER # | 10002 | 01 |
Other Name | Type Code |
---|---|
JRMC AMBULANCE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
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 |
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 |
---|---|---|---|---|
1134116049 | Johnson Regional Medical Center | General Acute Care Hospital | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2005-10-05 |
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 |
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 | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.