CROSSETT HEALTH FOUNDATION (NPI# 1811255987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811255987 |
| Entity Type | Organization |
| Organization Name | CROSSETT HEALTH FOUNDATION |
| Other Organization Name | ASHLEY COUNTY MEDICAL CENTER |
| Practice Address |
1003 Fred Lagrone Dr Crossett AR 71635-4546 |
| Practice Telephone | 8703643800 |
| Practice Fax Number | 8703643811 |
| Mailing Telephone | 8703643800 |
| Mailing Fax Number | 8703643811 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | PHILLIP GILMORE (CEO) |
| Authorized Official Telephone | 8703641271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
282NC0060X | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 150522729 | 05 |
| Other Name | Type Code |
|---|---|
| Ashley County Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134680242 | Crossett Health Foundation | Family Medicine | 124 Ray Lochala Rd, Crossett, AR 71635-4542 | 2019-03-29 |
| 1255339990 | Crossett Health Foundation | Home Health | 211 Pine St, Crossett, AR 71635 | 2005-07-07 |
| 1952308215 | Crossett Health Foundation | General Acute Care Hospital | 1015 Unity Rd, Crossett, AR 71635-9443 | 2005-07-01 |
| 1093084808 | Crossett Health Foundation | Clinic/Center | 319 W Parker St, Hamburg, AR 71646-3121 | 2011-12-22 |
| 1912170416 | Crossett Health Foundation | Psychiatric Unit | 1015 Unity Rd, Crossett, AR 71635-9443 | 2008-04-07 |
| 1649443144 | Crossett Health Foundation | Medicare Defined Swing Bed Unit | 1015 Unity Rd, Crossett, AR 71635-9443 | 2008-04-07 |
| 1174608012 | Crossett Health Foundation | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-10-26 |
| 1508821547 | Crossett Health Foundation | Nurse Anesthetist, Certified Registered | 1015 Unity Rd, Crossett, AR 71635-9443 | 2006-04-20 |
| 1639159973 | Crossett Health Foundation | Clinic/Center | 909 Unity Rd, Crossett, AR 71635-9444 | 2006-01-20 |
| 1548252745 | Crossett Health Foundation | Internal Medicine | 1015 Unity Rd, Crossett, AR 71635-9443 | 2005-08-16 |
| Street Address |
1003 FRED LAGRONE DR |
| City | CROSSETT |
| State | AR |
| Zip Code | 71635-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880366 | Phillip L Rindt | General Practice | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2005-06-10 |
| 1598104689 | Cheryl Denise Rabalais | Nurse Practitioner | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2013-06-21 |
| 1447546452 | Pamela S Winston | Nurse Practitioner | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2011-06-28 |
| 1710186945 | Kenneth Roy Richards | Pediatrics | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2007-07-17 |
| 1104981208 | Stewart Rushton Jr. | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-12-27 |
| 1174608012 | Crossett Health Foundation | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-10-26 |
| 1932189719 | Darrell James Brown Jr. | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2006-01-18 |
| 1508842832 | Ira J Murphy | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2005-12-19 |
| 1669454179 | Walter Lawrence Davis. | Obstetrics & Gynecology | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2005-11-18 |
| 1861484008 | William C. Go Jr. Md,pa | Orthopaedic Surgery | 1003 Fred Lagrone Dr, Crossett, AR 71635-4546 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873929 | Kayley A Harris | Social Worker | 1308 West 5th, Crossett, AR 71635 | 2015-06-15 |
| 1134552136 | Shonta G. Paskel | Licensed Practical Nurse | 1308 W. 5th Street, Crossett, AR 71635 | 2013-08-13 |
| 1861708885 | Stonegate Villa Health and Rehabilitation LLC | Skilled Nursing Facility | 118 Jerry Selby Drive, Crossett, AR 71635 | 2010-08-27 |
| 1457688673 | Crystal L Pippen | Case Manager/Care Coordinator | 1308 W. 5th St., Crossett, AR 71635 | 2009-11-09 |
| 1851526602 | Paula Aletha Wall | Case Manager/Care Coordinator | 1802 Hwy 82 West, Crossett, AR 71635 | 2009-05-22 |
| 1982855979 | Megan T Harris | Counselor | 615 W 1st Avenue, Crossett, AR 71635 | 2008-10-08 |
| 1063661882 | Helen Davis | Social Worker | 1308 W 5th Street, Crossett, AR 71635 | 2008-09-17 |
| 1043469869 | Shajuana Brown | Social Worker | 1308 West 5th St., Crossett, AR 71635 | 2008-09-17 |
| 1750537387 | Wanda F Hicks | Licensed Practical Nurse | 1308 West 5th Ave, Crossett, AR 71635 | 2008-08-14 |
| 1760654156 | John R Garlington | Psychologist | 1308 West 5th Street, Crossett, AR 71635 | 2008-03-26 |
| Find all providers in zip 71635 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308215 | Crossett Health Foundation | General Acute Care Hospital | 1015 Unity Rd, Crossett, AR 71635-9443 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1457306326 | Mercy Hospital Berryville | General Acute Care Hospital | 214 Carter St, Berryville, AR 72616-4303 | 2006-05-22 |
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
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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.