CHAMBERS MEMORIAL CLINIC
NPI 1073748406
Clinic/Center - Primary Care in Danville, AR

Q: What is John Ed Chambers Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 29, 2009CLIA 04D0671112 · Certificate of Compliance

719 DETROIT AVE, DANVILLE, AR 72833(479) 495-2241(479) 495-6223 Get Directions Write a Review

NPPES record last updated: January 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Chambers Memorial Clinic NPPES

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

CHAMBERS MEMORIAL CLINIC (NPI 1073748406) is a healthcare organization registered as a primary care in Danville, Arkansas and active in the NPI registry since May 2009. The organization holds a CLIA Certificate of Compliance certificate valid through September 12, 2027 and lists Paula Michaelle Cornwell, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073748406

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameJOHN ED CHAMBERS MEMORIAL HOSPITAL, INC.

Location Address719 DETROIT AVEDanville, AR 72833-9607

Mailing AddressPo Box 639Danville, AR 72833-0639 · (479) 495-2241 · Fax (479) 495-6290

Phone(479) 495-2241

Fax(479) 495-6223

Organization SubpartNo

Authorized OfficialPaula Michaelle CornwellCfo · (479) 495-2241

Enumeration DateMay 29, 2009

Last NPPES UpdateJanuary 12, 2024

NPPES CertifiedJanuary 10, 2024

✔ NPI 1073748406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

719 DETROIT AVE, Danville, AR 72833

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Other Names 1

Doing Business AsChambers Memorial Clinic

Other Identifiers 2

Medicaid113073002AR

Medicaid195803002AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.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 Compliance 04D0671112

John Ed Chambers Memorial Hospital · Danville, AR

Active · expires Sep 12, 2027

CLIA Number04D0671112

Laboratory TypeHospital

Certificate Effective DateSeptember 13, 2025

Certificate Expiration DateSeptember 12, 2027

Laboratory DirectorJames L. Babcock

Laboratory Phone(479) 495-6297

Laboratory LocationJohn Ed Chambers Memorial Hospital719 Detroit St, Danville, AR 72833

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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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.

RANDALL JAMES OSBORN CNP

Nurse Practitioner (Family)