HOWARD MEMORIAL HOSPITAL (NPI# 1346698248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346698248 |
| Entity Type | Organization |
| Organization Name | HOWARD MEMORIAL HOSPITAL |
| Other Organization Name | HMH OUTPATIENT RADIOLOGY |
| Practice Address |
1357 W Collin Raye Dr De Queen AR 71832-2946 |
| Mailing Address |
130 Medical Cir Nashville AR 71852-8606 |
| Practice Telephone | 8708453359 |
| Practice Fax Number | 8706422246 |
| Mailing Telephone | 8708458024 |
| Mailing Fax Number | 8708458027 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MRS. JUDY ANN KOSTERS (BUSINESS OFFICE DIRECTOR) |
| Authorized Official Telephone | 8708458024 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOWARD MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| HMH outpatient Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104282664 | Howard Memorial Hospital | Clinical Neuropsychologist | 122 Medical Cir, Nashville, AR 71852-8606 | 2016-01-13 |
| 1619370558 | Howard Memorial Hospital | Durable Medical Equipment & Medical Supplies | 130 Medical Cir, Nashville, AR 71852-8606 | 2014-10-07 |
| 1467852210 | Howard Memorial Hospital | Family Medicine | 110 Medical Cir, Nashville, AR 71852-8606 | 2014-08-29 |
| 1215102702 | Howard Memorial Hospital | Surgery | 130 Medical Circle, Nashville, AR 71852 | 2008-04-25 |
| 1578617791 | Howard Memorial Hospital | Medicare Defined Swing Bed Unit | 130 Medical Circle, Nashville, AR 71852 | 2007-01-23 |
| 1609920370 | Howard Memorial Hospital | Nurse Anesthetist, Certified Registered | 130 Medical Circle, Nashville, AR 71852-8606 | 2007-01-22 |
| 1851484695 | Howard Memorial Hospital | General Acute Care Hospital | 130 Medical Circle, Nashville, AR 71852 | 2006-10-02 |
| Street Address |
1357 W COLLIN RAYE DR |
| City | DE QUEEN |
| State | AR |
| Zip Code | 71832-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982285 | Terri Devlin | Pediatrics | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2005-06-20 |
| 1588265003 | Brittany Barber, Pllc | Clinic/Center | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-11-02 |
| 1104425586 | Martega Marie Walton | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2020-10-18 |
| 1982139333 | Ladonna Batty | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832 | 2017-04-24 |
| 1164816427 | Dqh&w Walk In Family Clinic LLC | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2015-03-25 |
| 1467711515 | Martin Family Medical Clinic Pllc | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2012-05-10 |
| 1770858086 | Comp Care LLC | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2012-03-20 |
| 1881997807 | Young Family Medical Clinic, Pllc | Nurse Practitioner | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2010-12-13 |
| 1740420157 | De Queen Health and Wellness Pharmacy LLC | Pharmacy | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2009-02-25 |
| 1295983237 | De Queen Pediatrics Inc | General Practice | 1357 W Collin Raye Dr, De Queen, AR 71832-2946 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149985 | Healthcare Express, LLP | Clinic/Center | 1021 W. Collin Raye Dr., Dequeen, AR 71832 | 2018-06-27 |
| 1982963781 | Callie Montana Miller | Specialist/Technologist | 194 Choctaw Trail, Dequeen, AR 71832 | 2012-05-14 |
| 1023376589 | Dequeen Medical Center | Rehabilitation Hospital | 1306 W Collin Dr., Dequeen, AR 71832 | 2012-05-02 |
| 1083971428 | Renee Logan | Pharmacist | 205 W De Queen Ave., De Queen, AR 71832 | 2012-04-23 |
| 1538434295 | Angela Kay Martin | Nurse Practitioner | 1302 W. Collin Raye Dr., Suite A, Dequeen, AR 71832 | 2012-03-14 |
| 1386950624 | Charles Norman Alston IIi | Dentist | 110 W. De Queen Avenue, De Queen, AR 71832 | 2010-08-24 |
| 1609181783 | De Queen Medical Center Inc | Home Health | 1007 N 14th St, De Queen, AR 71832 | 2010-08-12 |
| 1821301466 | Claire Terece Russell | Nurse Practitioner | 500 E. Collin Raye Dr, Dequeen, AR 71832 | 2010-07-25 |
| 1043445455 | Smiles of Arkansas Dental Center, Pllc | Dentist | 110 West Dequeen Avenue, Suite B, Dequeen, AR 71832 | 2009-05-29 |
| 1538319496 | Kerri Allison Ross | Speech-Language Pathologist | 122 Crestwood Dr., Dequeen, AR 71832 | 2008-09-26 |
| Find all providers in zip 71832 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407411879 | Sevier County | Clinic/Center | 115 N 3rd St, De Queen, AR 71832-2867 | 2019-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568643005 | Sgoh Acquisition Inc | Clinic/Center | 1101 Jackson St Sw, Gravette, AR 72736-9121 | 2007-11-26 |
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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.