JOHNSON REGIONAL MEDICAL CENTER


Address: 1100 E Poplar St, Clarksville, AR 72830-4419
Phone: 4797546600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
827 AR Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
AR BX PROVIDER # 10002 01

Other Provider/Organization Names

Other Name Type Code
JRMC AMBULANCE Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 1100 E POPLAR ST
City CLARKSVILLE
State AR
Zip Code 72830-4419

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

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1780817361 First Call Ambulance Service of Middle Tennessee, LLC Ambulance 186 E Old Trenton Rd Ste A, Clarksville, TN 37043-5833 2009-08-28
1356570592 Albany County Ambulance 58 Verda Ave, Clarksville, NY 12041 2009-07-09
1073668802 Clinton-warren Joint Fire & Rescue District Ambulance 82 Springhill Rd, Clarksville, OH 45113 2007-01-24
1285720458 City of Clarksville Ambulance 115 W Superior, Clarksville, IA 50619 2006-10-05
1053316265 County of Montgomery-office of County Judge Ambulance 601 Dunlop Ln, Clarksville, TN 37040-5015 2005-06-15

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1912504119 Edm Enterprises, LLC Ambulance 524 N 7th St, West Memphis, AR 72301-3233 2020-10-01
1710508262 Milo Fire Department Ambulance 2166 Highway 189 N, Hamburg, AR 71646-8854 2020-05-06
1588215628 Survival Flight Ems LLC Ambulance 2122 North Broadway, Heber Springs, AR 72543-5004 2019-09-20
1487139531 Delta Ems Ambulance 26023 Highway 69 E, Trumann, AR 72472-9766 2018-09-25
1043747744 Northwest Arkansas Paramed Transfer LLC Ambulance 925 Watson Ave, Springdale, AR 72764-5211 2017-05-12
1780119610 Medical Transport Management, Inc Ambulance 109 W Peddicord St, Dermott, AR 71638-2115 2017-04-28
1588196208 Beaver Lake Fire Dept Ambulance 8944 Grimes Dr, Rogers, AR 72756-7879 2017-03-31
1982064564 Ar Life Transport Ambulance 614 Grandview St, Sherwood, AR 72120-3224 2016-02-25
1902271448 City of Lowell Ambulance 216 N Lincoln St, Lowell, AR 72745-9048 2015-12-09
1538558697 Pine Snag Lobo Fire Association Ambulance 1855 Pangburn Rd, Heber Springs, AR 72543 2015-01-13
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Competitor

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City CLARKSVILLE
Zip Code 72830

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Dataset Information

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.

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