SMC REGIONAL MEDICAL CENTER NPI 1013088848
General Acute Care Hospital (Critical Access) in Osceola, AR
About SMC REGIONAL MEDICAL CENTER
Smc Regional Medical Center is a provider established in Osceola, Arkansas specializing in general acute care hospital (critical access) . The NPI number of Smc Regional Medical Center is 1013088848 and was assigned on November 2006. The practitioner's primary taxonomy code is 282NC0060X with license number AR4260 (AR). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is David Lynn (Cfo)
The CLIA number of Smc Regional Medical Center is 04D0049871 registered as a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued to Smc Regional Medical Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
| NPI | 1013088848 |
| Provider Name | SMC REGIONAL MEDICAL CENTER |
| Provider Location Address | 611 W LEE AVE OSCEOLA, AR 72370 |
| Provider Mailing Address | PO BOX 327 BLYTHEVILLE, AR 72316 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Enumeration Date | 11-13-2006 |
| Last Update Date | 06-17-2008 |
Primary Taxonomy
| Taxonomy Code | 282NC0060X |
| Classification | General Acute Care Hospital |
| Type | Hospitals |
| Specialization | Critical Access |
| License No. | AR4260 |
| License State | AR |
| Taxonomy Description | Definition to come. |
Business Address
SMC REGIONAL MEDICAL CENTER
611 W LEE AVE
OSCEOLA, AR
ZIP 72370
Phone: (871) 838-7213
Fax: (870) 838-7100
Mailing Address
SMC REGIONAL MEDICAL CENTER
PO BOX 327
BLYTHEVILLE, AR
ZIP 72316
Phone: (870) 838-7213
Fax: (870) 838-7100
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013088848 is:
| CLIA Number | 04D0049871 |
| Facility Type | HOSPITAL |
| Certificate Type | Certificate of Accreditation |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 5F353 | MEDICARE ID-TYPE UNSPECIFIED (04) | AR |
Other Providers at the same location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1801878897 | MR. RAYMOND SCOTT FERGUS MD Individual | Surgery | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7180 |
| 1952544389 | MISSISSIPPI COUNTY HOSPITAL SYSTEM Organization | General Acute Care Hospital (Critical Access) | 611 W LEE AVE OSCEOLA, AR 72370 (870) 838-7445 |
| 1871872846 | WEST LEE EMERGENCY PHYSICIANS Organization | Emergency Medicine | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7000 |
| 1366685992 | SMC-MISSISSIPPI COUNTY HOSPITAL SYSTEM Organization | General Acute Care Hospital (Critical Access) | 611 W LEE AVE OSCEOLA, AR 72370 (870) 838-7000 |
| 1225025646 | AMERIS OF OSCEOLA LLC Organization | General Acute Care Hospital (Critical Access) | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7000 |
| 1003970872 | AMERIS OF OSCEOLA,LLC Organization | Medicare Defined Swing Bed Unit | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7200 |
| 1104033976 | AMERIS OF ARKANSAS, LLC Organization | Psychiatric Residential Treatment Facility | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7000 |
| 1043553860 | EAST ARKANSAS EMERGENCY PHYSICIANS, PLLC Organization | Emergency Medicine | 611 W LEE AVE OSCEOLA, AR 72370 (870) 563-7000 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.