DELTA MEMORIAL HOSPITAL (NPI# 1295767689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295767689 |
| Entity Type | Organization |
| Organization Name | DELTA MEMORIAL HOSPITAL |
| Practice Address |
811 Hwy 65 South Dumas AR 71639 |
| Practice Telephone | 8703824303 |
| Practice Fax Number | 8703826555 |
| Mailing Telephone | 8703824303 |
| Mailing Fax Number | 8703826555 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-02-14 |
| Authorized Official Name | CRIS BOLIN (CFO) |
| Authorized Official Telephone | 8703828126 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4296 | AR | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR4392 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102081105 | 05 | |
| AR | BLUE CROSS PROVIDER NUMBE | 11326 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629092929 | Delta Memorial Hospital | Home Health | Hwy 65 North, Dumas, AR 71639 | 2006-07-27 |
| 1851956577 | Delta Memorial Hospital | Surgery | 811 Highway 65 S, Dumas, AR 71639-3006 | 2019-05-08 |
| 1245568567 | Delta Memorial Hospital | Psychiatric Unit | 811 Highway 65 S, Dumas, AR 71639-3006 | 2009-11-24 |
| 1750514220 | Delta Memorial Hospital | Clinic/Center | 515 Holly St, Mc Gehee, AR 71654-2146 | 2009-08-31 |
| 1275760654 | Delta Memorial Hospital | Psychiatric Unit | 811 Highway 65 S, Dumas, AR 71639-3006 | 2009-06-12 |
| 1871628354 | Delta Memorial Hospital | Clinic/Center | 811 Hwy 65 South, Dumas, AR 71639 | 2007-02-23 |
| 1770618266 | Delta Memorial Hospital | Durable Medical Equipment & Medical Supplies | 811 Hwy 65 South, Dumas, AR 71639 | 2007-02-23 |
| 1952327868 | Delta Memorial Hospital | Emergency Medicine | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| 1861418774 | Delta Memorial Hospital | Medicare Defined Swing Bed Unit | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| 1770509689 | Delta Memorial Hospital | Psychiatric Unit | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DELTA MEMORIAL HOSPITAL | 811 Highway 65 S, Dumas, AR 71639-3006 |
| Street Address |
811 HWY 65 SOUTH |
| City | DUMAS |
| State | AR |
| Zip Code | 71639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871628354 | Delta Memorial Hospital | Clinic/Center | 811 Hwy 65 South, Dumas, AR 71639 | 2007-02-23 |
| 1770618266 | Delta Memorial Hospital | Durable Medical Equipment & Medical Supplies | 811 Hwy 65 South, Dumas, AR 71639 | 2007-02-23 |
| 1952327868 | Delta Memorial Hospital | Emergency Medicine | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| 1861418774 | Delta Memorial Hospital | Medicare Defined Swing Bed Unit | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| 1770509689 | Delta Memorial Hospital | Psychiatric Unit | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619444338 | Susan K Cingolani | Licensed Practical Nurse | 741 Hwy 65 South, Dumas, AR 71639 | 2018-10-31 |
| 1497993166 | Cecily Shae Forrest | Case Manager/Care Coordinator | 708 Hwy 65 South, Dumas, AR 71639 | 2009-02-03 |
| 1922277714 | Amber Gail Bratton | Case Manager/Care Coordinator | 139 S Main Street, Dumas, AR 71639 | 2008-02-26 |
| 1891919189 | Jodie Partridge Center | Day Training, Developmentally Disabled Services | 1180 Highway 165, Dumas, AR 71639 | 2007-04-11 |
| 1487796520 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 611 Us Hwy 65 South, Suite A, Dumas, AR 71639 | 2007-02-13 |
| 1629092929 | Delta Memorial Hospital | Home Health | Hwy 65 North, Dumas, AR 71639 | 2006-07-27 |
| 1174569206 | City of Dumas | Ambulance | 149 E Waterman St, Dumas, AR 71639 | 2006-06-20 |
| 1346285533 | Lisa M Holaday | Specialist | 811 Hwy 5 S, Dumas, AR 71639 | 2006-06-19 |
| 1518909605 | Shamim A Malik | Psychiatry & Neurology | Delta Memorial Hospital, 811 Highway 65 South, Dumas, AR 71639 | 2006-06-12 |
| 1639400203 | Melissa Faler | Case Manager/Care Coordinator | 708 Hwy 65 South, Dumas, AR 71639 | 2010-01-21 |
| Find all providers in zip 71639 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1457306326 | Mercy Hospital Berryville | General Acute Care Hospital | 214 Carter St, Berryville, AR 72616-4303 | 2006-05-22 |
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
| 1760453633 | Mercy Hospital Paris | General Acute Care Hospital | 500 E Academy St, Paris, AR 72855-4040 | 2006-01-30 |
| 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.