ST . MARY'S REGIONAL MEDICAL CENTER
NPI 1033160049
General Acute Care Hospital in Russellville, AR

Active since May 14, 2006CLIA 04D0468964 · Accreditation
1808 W MAIN ST, RUSSELLVILLE, AR 72801(479) 968-2841(479) 968-8189 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Mar 17, 2021, Jul 29, 2019 and 2 more (5 updates tracked since 2016).

About St . Mary's Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST . MARY'S REGIONAL MEDICAL CENTER (NPI 1033160049) is a healthcare organization registered as a general acute care hospital in Russellville, Arkansas and active in the NPI registry since May 2006. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists Charlotte Lawrence, Secretary, as its authorized official.

NPPES Registry Identity

NPI1033160049
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameRUSSELLVILLE HOLDINGS LLC
Location Address1808 W MAIN STRussellville, AR 72801-2724
Mailing Address103 Continental Pl, Suite 200Brentwood, TN 37027-1041 · (615) 844-9800 · Fax (615) 844-9883
Fax(479) 968-8189
Organization SubpartNo
Authorized OfficialCharlotte LawrenceSecretary · (615) 920-7000
Enumeration DateMay 14, 2006
Last NPPES UpdateJuly 31, 20235 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
NPI 1033160049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in AR · 4192
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Also ListedSocial WorkerTaxonomy 104100000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 4192 (AR)
1808 W MAIN ST, Russellville, AR 72801

Other Names 1

Doing Business AsSt . Mary's Regional Medical Center

Other Identifiers 1

Medicaid152329105AR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 04D0468964

St Mary's Regional Medical Center Russellville Holdings LLC · Russellville, AR
Active · expires Aug 16, 2027
CLIA Number04D0468964
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorDr. Christina A. Jetton
Laboratory Phone(479) 964-9156
Laboratory LocationSt Mary's Regional Medical Center Russellville Holdings LLC1808 W Main Street, Russellville, AR 72801
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Radiation Oncology)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Anesthetist, Certified Registered
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Family Medicine
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Physician Assistant
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Anesthetist, Certified Registered
1808 W MAIN ST
RUSSELLVILLE, AR 72801
Nurse Practitioner (Acute Care)
1808 W MAIN ST
RUSSELLVILLE, AR 72801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russellville Holdings LLC's NPI number?

The NPI number for Russellville Holdings LLC is 1033160049. It was assigned to this organization in the NPPES registry on May 14, 2006. The provider is doing business as St . Mary's Regional Medical Center.

Where is Russellville Holdings LLC located?

Russellville Holdings LLC is located at 1808 W Main St, Russellville, AR 72801. The listed phone number is (479) 968-2841.

What is Russellville Holdings LLC's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Russellville Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 04D0468964) is associated with this NPI, valid through August 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russellville Holdings LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Russellville Holdings LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russellville Holdings LLC was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.