BAPTIST MEMORIAL HOSPITAL-JONESBORO INC (NPI# 1386699353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386699353 |
| Entity Type | Organization |
| Organization Name | BAPTIST MEMORIAL HOSPITAL-JONESBORO INC |
| Other Organization Name | NEA BAPTIST MEMORIAL HOSPITAL |
| Practice Address |
4800 E Johnson Ave Jonesboro AR 72401-8413 |
| Mailing Address |
350 N Humphreys Blvd Memphis TN 38120-2177 |
| Practice Telephone | 8709361000 |
| Practice Fax Number | 8709360101 |
| Mailing Fax Number | 8709360101 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | GREGORY DUCKETT (SVP/ CLO) |
| Authorized Official Telephone | 9012275233 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAPTIST MEMORIAL HEALTH CARE CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 4183 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 192756105 | 05 |
| Other Name | Type Code |
|---|---|
| NEA Baptist Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700269339 | Baptist Memorial Hospital-jonesboro Inc | Rehabilitation Unit | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2015-07-01 |
| Street Address |
4800 E JOHNSON AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-8413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538134200 | Brock F Harris | Hospitalist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2006-02-17 |
| 1780205740 | Andrea Duchow | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-30 |
| 1255950069 | Jackson Benjamin Troxel | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-11 |
| 1225657125 | Edwin Roy Mathews | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-10 |
| 1063031086 | Muaamar Baldawi | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1003435108 | Refayat Ahsen | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-09 |
| 1770112377 | Julia Bottoni | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-06 |
| 1538797709 | Christian Paige Parnell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-04-01 |
| 1013564525 | Jarryd A Dempsey | Physical Therapist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-20 |
| 1437705910 | Tiffany Gail Kauffman | Clinical Nurse Specialist | 4800 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356773493 | Arkansas Continued Care Hospital of Jonesboro, LLC | General Acute Care Hospital | 3024 Red Wolf Blvd Ste 1, Jonesboro, AR 72401-7415 | 2013-07-31 |
| 1023117322 | St Bernards Hospital Inc | General Acute Care Hospital | 900 W Monroe Ave, Jonesboro, AR 72401-2651 | 2006-09-22 |
| 1538268982 | St. Bernards Hospital Inc | General Acute Care Hospital | 900 W Monroe Ave Ste B, Jonesboro, AR 72401-2651 | 2006-09-22 |
| 1922043686 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-06-18 |
| 1437526001 | S&s Surgical First Assist | General Acute Care Hospital | 2471 Sierra Heights Dr, Jonesboro, GA 30236-7248 | 2015-08-30 |
| 1396053096 | St Bernards Hospital Inc. | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2010-09-16 |
| 1932417821 | St Bernards Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2010-09-14 |
| 1043336522 | The Surgical Hospital of Jonesboro | General Acute Care Hospital | 909 Enterprise Dr, Jonesboro, AR 72401-9201 | 2007-03-22 |
| 1831255397 | St Bernards Hospital Inc | General Acute Care Hospital | 225 E Washington Ave, Jonesboro, AR 72401-3111 | 2006-12-29 |
| 1346301306 | St. Bernards Medical Center | General Acute Care Hospital | 2712 E Johnson Ave, Jonesboro, AR 72401-1874 | 2006-12-13 |
| Find all providers in JONESBORO | ||||
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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.