LAWRENCE MEMORIAL HOSPITAL (NPI# 1548514029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548514029 |
| Entity Type | Organization |
| Organization Name | LAWRENCE MEMORIAL HOSPITAL |
| Other Organization Name | IMBODEN CLINIC |
| Practice Address |
201 N Walnut Street Imboden AR 72434 |
| Mailing Address |
Po Box 839 Walnut Ridge AR 72476-0839 |
| Practice Telephone | 8708693101 |
| Practice Fax Number | 8708693014 |
| Mailing Telephone | 8708861200 |
| Mailing Fax Number | 8708865340 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2013-02-01 |
| Authorized Official Name | MRS. VANESSA K WAGNER (CFO) |
| Authorized Official Telephone | 8708861263 |
| Is Organization Subpart | Y |
| Parent Organization Name | LAWRENCE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| IMBODEN CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083012827 | Lawrence Memorial Hospital | Pharmacy | 325 Maine St Ste 250, Lawrence, KS 66044-1360 | 2014-12-10 |
| 1801077672 | Lawrence Memorial Hospital | Clinical Nurse Specialist | 313 S Union St, Mc Louth, KS 66054-4103 | 2007-11-20 |
| 1588782643 | Lawrence Memorial Hospital | Family Medicine | 600 E. 20th St, Suite # 200, Eudora, KS 66025-9068 | 2007-03-27 |
| 1164497350 | Lawrence Memorial Hospital | Clinic/Center | 505 Se Lindsey St, Hoxie, AR 72433-2224 | 2006-02-21 |
| 1457720658 | Lawrence Memorial Hospital | General Acute Care Hospital | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2015-09-17 |
| 1366811564 | Lawrence Memorial Hospital | General Acute Care Hospital | 1309 W Main St, Walnut Ridge, AR 72476-1430 | 2015-09-17 |
| 1811303407 | Lawrence Memorial Hospital | Internal Medicine | 1130 W 4th St, Suite 3201, Lawrence, KS 66044-1328 | 2014-07-03 |
| 1972949113 | Lawrence Memorial Hospital | Family Medicine | 346 Maine St, Suite 100, Lawrence, KS 66044-1393 | 2013-05-15 |
| 1992082762 | Lawrence Memorial Hospital | Internal Medicine | 1130 W 4th St, Suite 2001, Lawrence, KS 66044-1328 | 2011-11-08 |
| 1821383886 | Lawrence Memorial Hospital | Internal Medicine | 4525 W 6th St, Suite 100, Lawrence, KS 66049-4815 | 2011-06-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAWRENCE MEMORIAL HOSPITAL | 170 Governors Ave, Medford, MA 02155-1643 |
| Street Address |
201 N WALNUT STREET |
| City | IMBODEN |
| State | AR |
| Zip Code | 72434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346643020 | Lawrence Memorial Health Foundation Inc. | Clinic/Center | 201 N Walnut Street, Imboden, AR 72434 | 2014-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962960344 | Jmrx LLC | Pharmacy | 110 N. Walnut Street, Imboden, AR 72434 | 2019-03-05 |
| 1134639222 | Holli Dawn Lillard | Physical Therapist | 5552 Us Hwy 63, Suite B, Imboden, AR 72434 | 2017-10-03 |
| 1801280557 | Ashley Michelle Saylors | Massage Therapist | 1049 A W 3rd St., Imboden, AR 72434 | 2015-03-20 |
| 1093997959 | Sloan-hendrix School District | Local Education Agency (LEA) | 1 Greyhound Drive, Imboden, AR 72434 | 2007-12-03 |
| 1164620381 | Brenda Marie Ray | Counselor | 106 East Third St, Imboden, AR 72434 | 2007-07-10 |
| 1487878104 | Murphy Dental Care Pa | Dentist | 1031 West Third St, Imboden, AR 72434 | 2007-04-12 |
| 1619062601 | Aaron B Murphy | Dentist | 1031 W. Third St., Imboden, AR 72434 | 2006-10-04 |
| 1417964107 | Jackie R White | Family Medicine | 201 N Walnut, Imboden, AR 72434 | 2006-08-02 |
| 1528058112 | Imboden Medical Pharmacy Inc | Pharmacist | 203 Walnut St, Imboden, AR 72434 | 2005-10-25 |
| 1679071302 | Elite Therapy and Wellness | Physical Therapist | 5552 Us Hwy 63, Suite B, Imboden, AR 72434 | 2018-01-29 |
| Find all providers in zip 72434 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892433 | Genesis Health and Wellness, Pllc | Clinic/Center | 110 N Hendrix St, Imboden, AR 72434-9077 | 2020-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134603 | Sheridan Family Clinic, Pllc | Clinic/Center | 109 W Pine St Ste A, Sheridan, AR 72150-2443 | 2020-11-03 |
| 1346848850 | Arkansas Premier Medical Clinic | Clinic/Center | 22461 I 30 Ste 402, Bryant, AR 72022-2383 | 2020-10-16 |
| 1659985570 | Premise Health of Arkansas Medical P A | Clinic/Center | 3307 N 2nd St, Rogers, AR 72756-0001 | 2020-09-08 |
| 1497376321 | Magnolia Regional Health System Inc | Clinic/Center | 1010 N Dudney Rd Ste C, Magnolia, AR 71753-2651 | 2020-05-01 |
| 1700430386 | Kidspiration of Marion County | Clinic/Center | 81 Development Dr, Yellville, AR 72687-0662 | 2019-07-31 |
| 1891357455 | Pinnacle Health Partners Pllc | Clinic/Center | 17447 Highway 9, Benton, AR 72019-9223 | 2019-07-03 |
| 1083273007 | Diane K Bodemann Md Ltd | Clinic/Center | 256 Grandstaff Dr, Hot Springs, AR 71913-8789 | 2019-06-12 |
| 1265098552 | Community Family Medical LLC | Clinic/Center | 1139 North Highway 77, Marion, AR 72364-9027 | 2019-05-13 |
| 1174187132 | Arcare | Clinic/Center | 3800 Rogers Ave Ste 6, Fort Smith, AR 72903-3075 | 2019-04-25 |
| 1033773932 | Arcare | Clinic/Center | 1801 Central Ave Ste F, Hot Springs, AR 71901-6800 | 2019-04-25 |
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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.