REBSAMEN MEDICAL CENTER, INC.


Address: 1400 Braden St, Jacksonville, AR 72076-3721
Phone: 5019857000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility AR3795 AR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR BLUE CROSS AR PROVIDER NO 15329 01

Other Provider/Organization Names

Other Name Type Code
North Metro Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215047121 Rebsamen Medical Center, Inc. Rehabilitation Unit 1400 Braden St, Jacksonville, AR 72076-3721 2006-08-30

Office Location

Street Address 1400 BRADEN ST
City JACKSONVILLE
State AR
Zip Code 72076-3721

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City JACKSONVILLE
Zip Code 72076

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Dataset Information

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.

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