BOONEVILLE COMMUNITY HOSPITAL, INC (NPI# 1598842643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598842643 |
| Entity Type | Organization |
| Organization Name | BOONEVILLE COMMUNITY HOSPITAL, INC |
| Practice Address |
880 West Main Booneville AR 72927-0290 |
| Mailing Address |
Po Box 290 Booneville AR 72927-0290 |
| Practice Telephone | 4796752800 |
| Practice Fax Number | 4796752881 |
| Mailing Telephone | 4796752800 |
| Mailing Fax Number | 4796752881 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBIN (BOB) CALVIN ROBERTSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4796752800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | AR4154 | AR | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BCH HOME HEALTH AGENCY | 047171 | 01 |
| AR | BCH RHC | 043491 | 01 |
| AR | ARK BCBS | 11318 | 01 |
| AR | BCH SWING BED | 04Z318 | 01 |
| AR | BCH CLINIC | 5C893 | 01 |
| Street Address |
880 WEST MAIN |
| City | BOONEVILLE |
| State | AR |
| Zip Code | 72927-0290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538675103 | Kimes Family Dentistry Pllc | Clinic/Center | 1090 E Main St, Booneville, AR 72927 | 2017-12-19 |
| 1730505876 | Booneville Chiropractic, Inc | Clinic/Center | 181 West 6th Street, Booneville, AR 72927 | 2014-03-13 |
| 1427486794 | Mercy Hospital Booneville | Clinic/Center | 128 Daniel Avenue, Booneville, AR 72927 | 2013-10-24 |
| 1982968822 | Emily M Kimes | Dentist | 1090 East Main St, Booneville, AR 72927 | 2012-06-26 |
| 1801928627 | State of Arkansas | Intermediate Care Facility, Mentally Retarded | 87 Reed Rd, Highway 116 South, Booneville, AR 72927 | 2007-03-09 |
| 1932274362 | Big World Drug Enterprises Inc | Pharmacy | 1531 East Main Street, Booneville, AR 72927 | 2006-11-21 |
| 1801907142 | J Thad Shirey | Dentist | 1090 Hwy 10 East, Booneville, AR 72927 | 2006-08-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1023007770 | Oak Manor Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 150 Morton Avenue, Booneville, AR 72927 | 2005-10-17 |
| 1073518593 | Booneville Community Hospital, Inc. | Home Health | 880 W Main, Booneville, AR 72927 | 2005-06-21 |
| Find all providers in zip 72927 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235567504 | Mercy Hospital Booneville | Medicare Defined Swing Bed Unit | 880 W Main St, Booneville, AR 72927-3443 | 2013-10-24 |
| 1013974922 | Baptist Memorial Hospital-booneville, Inc. | Medicare Defined Swing Bed Unit | 100 Hospital St, Booneville, MS 38829-3354 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932395969 | City of Pocahontas Ar | Medicare Defined Swing Bed Unit | 2801 Medical Center Drive, Pocahontas, AR 72455-9436 | 2007-09-24 |
| 1992865513 | Ozark Health, Inc | Medicare Defined Swing Bed Unit | 2500 Hwy 65 South, Clinton, AR 72031 | 2006-12-12 |
| 1609811827 | Baptist Health | Medicare Defined Swing Bed Unit | 1800 Bypass Road, Heber Springs, AR 72543 | 2006-06-19 |
| 1881635993 | Izard County Medical Center, LLC | Medicare Defined Swing Bed Unit | 61 Grasse St, Calico Rock, AR 72519-0438 | 2006-06-09 |
| 1902862915 | White River Health System, Inc | Medicare Defined Swing Bed Unit | 2106 E. Main St., Mountain View, AR 72560-6439 | 2006-04-26 |
| 1093336026 | Magnolia Regional Health System Inc | Medicare Defined Swing Bed Unit | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2020-04-30 |
| 1538796651 | Eureka Springs Hospital Commission | Medicare Defined Swing Bed Unit | 24 Norris St, Eureka Springs, AR 72632-3541 | 2020-03-26 |
| 1407369390 | Siloam Springs Arkansas Hospital Company LLC | Medicare Defined Swing Bed Unit | 603 N Progress Ave, Siloam Springs, AR 72761-4352 | 2017-11-14 |
| 1649724261 | Baptist Health | Medicare Defined Swing Bed Unit | 1001 Schneider Dr, Malvern, AR 72104-4811 | 2016-08-11 |
| 1740535061 | Drew Memorial Hospital, Inc. | Medicare Defined Swing Bed Unit | 778 Scogin Dr, Monticello, AR 71655-5729 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 72927 |
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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.