FULTON COUNTY HOSPITAL (NPI# 1922261890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922261890 |
| Entity Type | Organization |
| Organization Name | FULTON COUNTY HOSPITAL |
| Other Organization Name | NORTH ARKANSAS FAMILY CLINIC |
| Practice Address |
673 North Main St Salem AR 72576 |
| Mailing Address |
Po Box 517 Salem AR 72576 |
| Practice Telephone | 8708954488 |
| Mailing Telephone | 8708952152 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2017-09-22 |
| Authorized Official Name | CHARLES WILLETT (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 8708956096 |
| Is Organization Subpart | Y |
| Parent Organization Name | FULTON COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| North Arkansas Family Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134204795 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1336227750 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-02 |
| 1841377983 | Fulton County Hospital | Medicare Defined Swing Bed Unit | 679 North Main, Salem, AR 72576-9451 | 2006-11-01 |
| 1578640611 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1427135466 | Fulton County Hospital | General Acute Care Hospital | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1871670810 | Fulton County Hospital | Ambulance | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1225115264 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-11-01 |
| 1831274612 | Fulton County Hospital | Emergency Medicine | 679 North Main, Salem, AR 72576 | 2006-10-27 |
| 1841375490 | Fulton County Hospital | Ambulance | 679 North Main, Salem, AR 72576 | 2006-10-25 |
| 1265407001 | Fulton County Hospital | General Acute Care Hospital | 679 N Main St, Salem, AR 72576-9451 | 2006-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FULTON COUNTY HOSPITAL | 679 N Main St, Salem, AR 72576-9451 |
| Street Address |
673 NORTH MAIN ST |
| City | SALEM |
| State | AR |
| Zip Code | 72576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475466 | Venita Lynne Ninemire | Nurse Practitioner | 673 North Main St, Salem, AR 72576 | 2018-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205476322 | Spring River Therapy | Occupational Therapy Assistant | 1323 Hwy 9 N, Salem, AR 72576 | 2020-01-07 |
| 1326691213 | Tiffany Jean Reed | Occupational Therapy Assistant | 115 Watters Street, Salem, AR 72576 | 2019-07-19 |
| 1821564436 | Bokker Enterprises, Inc. | Community/Behavioral Health | 115 Turner Lane, Ste #2, Salem, AR 72576 | 2018-10-22 |
| 1346790649 | Rebekah Alexander | Social Worker | 684 Highway 62 412, Salem, AR 72576 | 2016-10-11 |
| 1407209075 | Mirenda Martin | Clinical Nurse Specialist | 507 N Main Street, Salem Family Clinic 507 N Main Street, Salem, AR 72576 | 2016-07-19 |
| 1982004362 | Alternative Oppurtunities | Community/Behavioral Health | 684 Sky Vu Shopping Center, Highway 412 West, Salem, AR 72576 | 2014-09-04 |
| 1144465485 | Jennifer Renee Innis | Physical Therapy Assistant | 679 North Main Street, Salem, AR 72576 | 2008-12-15 |
| 1659573327 | Barbara Scott | Nurse Practitioner | 172 Highway 62 East, Salem, AR 72576 | 2007-06-04 |
| 1609995653 | Watch Care, LLC | Hospice Care, Community Based | 106 West Locust, Salem, AR 72576 | 2007-03-29 |
| 1679600936 | Ozarks Medical Center | Clinic/Center | 172 Hwy 62 East, Suite 1, Salem, AR 72576 | 2007-02-27 |
| Find all providers in zip 72576 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063069300 | Ideal Option Pllc | Clinic/Center | 863 Liberty St Ne, Salem, OR 97301-2451 | 2019-08-21 |
| 1326589771 | Saint Moscati Community Health Care | Clinic/Center | 4131 Glendale Ave Ne, Salem, OR 97305-1913 | 2017-03-18 |
| 1275983660 | Salem Community Acupuncture Project | Clinic/Center | 2416 13th St Se, Salem, OR 97302-2546 | 2016-06-15 |
| 1619341633 | Hkd Treatment Options | Clinic/Center | 84 Highland Ave., Suite 305, Salem, MA 01970 | 2015-11-16 |
| 1770967325 | Dancing Crane Center of Chinese Medicine | Clinic/Center | 11 Library Sq, Salem, VA 24153-3846 | 2015-07-14 |
| 1831504968 | Wvp Medical Group, LLC | Clinic/Center | 2485 12th St. Se, Salem, OR 97302-0000 | 2014-06-27 |
| 1013210095 | Salem Occupational and Acute Care | Clinic/Center | 13 Red Roof Ln Ste 2, Salem, NH 03079-2983 | 2010-12-13 |
| 1336456516 | Salem Free Medical Clinic | Clinic/Center | 1300 Broadway St Ne Suite #104, Salem, OR 97301 | 2010-09-09 |
| 1659601045 | Monarch Medical Group LLC | Clinic/Center | 5686 Commercial St Se, Suite 100, Salem, OR 97306 | 2010-01-06 |
| 1659524403 | Doctor's Diagnositcs, LLC | Clinic/Center | 322 Highway 62 W, Suite 2, Salem, AR 72576-9566 | 2008-10-24 |
| Find all providers in SALEM | ||||
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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.