JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. (NPI# 1346431384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346431384 |
| Entity Type | Organization |
| Organization Name | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. |
| Other Organization Name | WESTERN YELL COUNTY MEDICAL CLINIC |
| Practice Address |
310 West Broadway Havana AR 72842-0099 |
| Mailing Address |
Po Box 99 Havana AR 72842-0099 |
| Practice Telephone | 4794762827 |
| Practice Fax Number | 4794762580 |
| Mailing Telephone | 4794762827 |
| Mailing Fax Number | 4794762580 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MIKE MCCOY (CEO) |
| Authorized Official Telephone | 4794952241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
AR4293 | AR | Hospitals |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113073002 | 05 | |
| AR | BLUE CROSS | 57988 | 01 |
| Other Name | Type Code |
|---|---|
| Western Yell County Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942237268 | John Ed Chambers Memorial Hospital, Inc. | Home Health | Hwy 10 East, Danville, AR 72833-0639 | 2006-06-26 |
| 1760418842 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 402 South Scenic 7 Drive, Ola, AR 72853 | 2006-06-23 |
| 1922589472 | John Ed Chambers Memorial Hospital, Inc. | Ambulance | 719 Detroit Ave, Danville, AR 72833-9607 | 2018-08-23 |
| 1073748406 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2009-05-29 |
| 1154358307 | John Ed Chambers Memorial Hospital, Inc. | Clinic/Center | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1740217884 | John Ed Chambers Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-26 |
| 1902842255 | John Ed Chambers Memorial Hospital, Inc. | General Acute Care Hospital | 719 Detroit Street, Danville, AR 72833-0639 | 2006-06-22 |
| Street Address |
310 WEST BROADWAY |
| City | HAVANA |
| State | AR |
| Zip Code | 72842-0099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396965554 | Western Yell County School Dist | Local Education Agency (LEA) | 1 Wolverine Lane, Havana, AR 72842 | 2007-04-27 |
| 1821166133 | Western Yell County School | Local Education Agency (LEA) | #1 Wolverine Drive, Havana, AR 72842 | 2006-12-04 |
| 1821156571 | Western Yell County School | Local Education Agency (LEA) | #1 Wolverine Drive, Havana, AR 72842 | 2006-12-05 |
| 1376506881 | Patty K Pettway | Family Medicine | 310 West Broadway Street, Havana, AR 72842-0099 | 2006-04-07 |
| 1265606271 | Julie Christine Foster | Speech-Language Pathologist | 10165 Walnut Grove Rd, Havana, AR 72842-8835 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304224 | Kanton Enzor | Non-emergency Medical Transport (VAN) | 50 Sheline Dr, Havana, FL 32333-4760 | 2020-10-19 |
| 1689271249 | Chiqueata Lashay Evans | Homemaker | 304 E 10th Ave, Havana, FL 32333-1918 | 2020-10-07 |
| 1558976639 | Brenda K Stephens | Community Health Worker | 144 Carver Ave, Havana, FL 32333-6318 | 2020-09-15 |
| 1942812151 | Blessed Ones Home Care Agency LLC | In Home Supportive Care | 335 Highland Rd, Havana, FL 32333-4426 | 2020-08-19 |
| 1922626324 | Aimee Williams | Student in an Organized Health Care Education/Training Program | 94 Christian Loop, Havana, FL 32333-4786 | 2020-07-12 |
| 1689298374 | Mna Associates Private Home Care LLC | Clinic/Center | 191 Victoria Ave, Havana, FL 32333-4466 | 2020-05-29 |
| 1851914493 | Simmons Care Services | Respite Care | 67 Azalea Trl, Havana, FL 32333-5135 | 2020-05-18 |
| 1679194237 | Divine Healing Senior & Disabled Services LLC | In Home Supportive Care | 910 Se 1st St, Havana, FL 32333-2203 | 2020-05-05 |
| 1871112722 | Sarah Tso | Social Worker | 630 Opportunity Ln, Havana, FL 32333-7629 | 2020-04-10 |
| 1790348183 | Rickie Jones | Community/Behavioral Health | 30 Ira Bunion Rd, Havana, FL 32333-5349 | 2019-04-21 |
| Find all providers in HAVANA | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376506881 | Patty K Pettway | Family Medicine | 310 West Broadway Street, Havana, AR 72842-0099 | 2006-04-07 |
| 1316173164 | Bethany L Bitner | Family Medicine | 615 N Promenade St, Havana, IL 62644-1243 | 2009-06-08 |
| 1487768511 | Mark A. Newberry | Family Medicine | 602 E 5th Ave, Havana, FL 32333-1442 | 2006-08-18 |
| 1356307433 | Bruce Schultz | Family Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-26 |
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| 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.