SMC REGIONAL MEDICAL CENTER NPI 1013088848

General Acute Care Hospital (Critical Access) in Osceola, AR

NPI 1013088848 Organization General Acute Care Hospital Critical Access CLIA Number 04D0049871 CLIA Certificate of Accreditation

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 NameSMC REGIONAL MEDICAL CENTER
Provider Location Address611 W LEE AVE OSCEOLA, AR 72370
Provider Mailing AddressPO BOX 327 BLYTHEVILLE, AR 72316
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date11-13-2006
Last Update Date06-17-2008


Primary Taxonomy

Taxonomy Code282NC0060X
ClassificationGeneral Acute Care Hospital
TypeHospitals
SpecializationCritical Access
License No.AR4260
License StateAR
Taxonomy DescriptionDefinition to come.

Business Address

SMC REGIONAL MEDICAL CENTER
611 W LEE AVE
OSCEOLA, AR
ZIP 72370
Phone: (871) 838-7213
Fax: (870) 838-7100

Get Directions


Mailing Address

SMC REGIONAL MEDICAL CENTER
PO BOX 327
BLYTHEVILLE, AR
ZIP 72316
Phone: (870) 838-7213
Fax: (870) 838-7100



Authorized Official

Authorized Official Name DAVID LYNN
Authorized Official TitleCFO
Authorized Official Phone(870) 838-7462

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 Number04D0049871
Facility TypeHOSPITAL
Certificate TypeCertificate 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
5F353MEDICARE 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
1801878897MR. RAYMOND SCOTT FERGUS MD
Individual
Surgery611 W LEE AVE
OSCEOLA, AR 72370
(870) 563-7180
1952544389MISSISSIPPI COUNTY HOSPITAL SYSTEM
Organization
General Acute Care Hospital (Critical Access)611 W LEE AVE
OSCEOLA, AR 72370
(870) 838-7445
1871872846WEST LEE EMERGENCY PHYSICIANS
Organization
Emergency Medicine611 W LEE AVE
OSCEOLA, AR 72370
(870) 563-7000
1366685992SMC-MISSISSIPPI COUNTY HOSPITAL SYSTEM
Organization
General Acute Care Hospital (Critical Access)611 W LEE AVE
OSCEOLA, AR 72370
(870) 838-7000
1225025646AMERIS OF OSCEOLA LLC
Organization
General Acute Care Hospital (Critical Access)611 W LEE AVE
OSCEOLA, AR 72370
(870) 563-7000
1003970872AMERIS OF OSCEOLA,LLC
Organization
Medicare Defined Swing Bed Unit611 W LEE AVE
OSCEOLA, AR 72370
(870) 563-7200
1104033976AMERIS OF ARKANSAS, LLC
Organization
Psychiatric Residential Treatment Facility611 W LEE AVE
OSCEOLA, AR 72370
(870) 563-7000
1043553860EAST ARKANSAS EMERGENCY PHYSICIANS, PLLC
Organization
Emergency Medicine611 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.