REBSAMEN MEDICAL CENTER, INC. (NPI# 1548357858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548357858 |
Entity Type | Organization |
Organization Name | REBSAMEN MEDICAL CENTER, INC. |
Other Organization Name | NORTH METRO MEDICAL CENTER |
Practice Address |
1400 Braden St Jacksonville AR 72076-3721 |
Practice Telephone | 5019857000 |
Practice Fax Number | 5019857407 |
Mailing Telephone | 5019857000 |
Mailing Fax Number | 5019857407 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2008-02-20 |
Authorized Official Name | SCOTT LANDRUM (INTERIM CEO) |
Authorized Official Telephone | 5019857035 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | AR3795 | AR | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE CROSS AR PROVIDER NO | 15329 | 01 |
Other Name | Type Code |
---|---|
North Metro Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215047121 | Rebsamen Medical Center, Inc. | Rehabilitation Unit | 1400 Braden St, Jacksonville, AR 72076-3721 | 2006-08-30 |
Street Address |
1400 BRADEN ST |
City | JACKSONVILLE |
State | AR |
Zip Code | 72076-3721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174509673 | Pulaski Emergency Group LLC | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2005-12-16 |
1306476957 | David Wicker | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2020-01-23 |
1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
1154736262 | Monte Douglas | Physician Assistant | 1400 Braden St, Jacksonville, AR 72076-3721 | 2014-06-26 |
1568715910 | Chg Cornerstone Hospital of Little Rock, LLC | Long Term Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2012-10-23 |
1376812487 | Gpn Jacksonville LLC | Emergency Medicine | 1400 Braden St, Er Dept, Jacksonville, AR 72076-3721 | 2011-12-19 |
1093044166 | Jacksonville Emergency Medicine LLC | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-12-18 |
1134367022 | Rita Margaret Odom | Nurse Practitioner | 1400 Braden St, Jacksonville, AR 72076-3721 | 2009-01-30 |
1972709418 | Nasir Zareen | Emergency Medicine | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-06-22 |
1487863619 | Allegiance Hospital of North Little Rock, LLC | General Acute Care Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2007-05-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598396046 | Jennifer Michelle Price | Licensed Practical Nurse | 2400 West Main, Jacksonville, AR 72076 | 2020-02-03 |
1912464009 | Stat Home Health - Cenark LLC | Home Health | 1410 Braden Street, Jacksonville, AR 72076 | 2019-02-25 |
1649797671 | Caring Hearts Counseling, LLC | Case Management | 111 Marble Drive, Jacksonville, AR 72076 | 2017-08-30 |
1376071340 | Anne Elizabeth Houtchens | Speech-Language Pathologist | 2701 Tp White Drive, Jacksonville, AR 72076 | 2017-06-02 |
1881140648 | Jacksonville North Pulaski School District | Local Education Agency (LEA) | 1414 West Main, Jacksonville, AR 72076 | 2016-08-31 |
1134599772 | Jeremiah Melson Fleeman | Occupational Therapist | 2701 Tpwhite Drive, Jacksonville, AR 72076 | 2015-09-25 |
1821424565 | Kasey Michele Leeson | Social Worker | 2520 W. Main St., Jacksonville, AR 72076 | 2013-09-25 |
1407104052 | Cesalie Deonne Wallace | Nurse Practitioner | 3000 North First Street, Jacksonville, AR 72076 | 2012-08-29 |
1952660995 | Joshua Aaron Hill | Case Manager/Care Coordinator | 2126 N. 1st St Suite F, Jacksonville, AR 72076 | 2012-05-11 |
1396023156 | Syreeta Tucker | Case Manager/Care Coordinator | 1109 Burman, Jacksonville, AR 72076 | 2011-07-28 |
Find all providers in zip 72076 |
Taxonomy Code | 314000000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Skilled Nursing Facility |
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
1992336895 | Dolphin Pointe Health Care, LLC | Skilled Nursing Facility | 5355 Dolphin Point Rd., Jacksonville, FL 32211 | 2020-01-29 |
1629439260 | West Jax Geriatrics, LLC | Skilled Nursing Facility | 730 College St, Jacksonville, FL 32204-3313 | 2016-03-10 |
1376955377 | Edwin Bato | Skilled Nursing Facility | 3434 Nightscape Cir, Jacksonville, FL 32224-1618 | 2014-05-24 |
1508138678 | Terri Velinda Virgil | Skilled Nursing Facility | 11555 Birch Forest Circle East, Jacksonville, FL 32218 | 2012-02-03 |
1689993032 | Jacksonville Scc, LLC | Skilled Nursing Facility | 810 Bellaire St, Jacksonville, TX 75766-9045 | 2010-05-25 |
1326362005 | Brooks Skilled Nursing Facility, A, Inc. | Skilled Nursing Facility | 6209 Brooks Bartram Dr. Bldg 100, Jacksonville, FL 32258 | 2010-03-24 |
1144476946 | Magnus Opus Technology | Skilled Nursing Facility | 7000 Northlake Dr, Jacksonville, AR 72076-4959 | 2008-08-12 |
1972796175 | Russell Wayne Tolliver | Skilled Nursing Facility | 4083 Sunbeam Rd, Apartment 1409, Jacksonville, FL 32257-8993 | 2007-08-21 |
1750409082 | Patti Sperling Arnp LLC | Skilled Nursing Facility | 402 Myrtlewood Cir, Jacksonville, NC 28546-7412 | 2007-03-26 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 72076 |
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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.