SSMH ER GROUP
NPI 1104858471
Emergency Medicine in Siloam Springs, AR

NPI Status: Active since July 07, 2006

Contact Information

205 E JEFFERSON ST
SILOAM SPRINGS, AR
ZIP 72761
Phone: (479) 524-4141
Fax: (479) 549-2674

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  • Organization
  • Emergency Medicine
  • CLIA Number: 04D0050071
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 05-19-2027

About SSMH ER GROUP

This page provides the complete NPI Profile along with additional information for Ssmh Er Group, a provider established in Siloam Springs, Arkansas operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1104858471 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Ssmh Er Group. The authorized official of this NPI record is Cathy J Woodruff (Pfs Director)

NPI
1104858471
Provider Legal Name
SILOAM SPRINGS MEMORIAL HOSPITAL
Other Organization Name
SSMH ER GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 E JEFFERSON ST SILOAM SPRINGS, AR 72761
Location Phone
(479) 524-4141
Location Fax
(479) 549-2674
Mailing Address
205 E JEFFERSON ST SILOAM SPRINGS, AR 72761
Mailing Phone
(479) 524-4141
Mailing Fax
(479) 549-2674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
12-05-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CATHY J WOODRUFF

Authorized Official Title
PFS DIRECTOR
Authorized Official Phone
(479) 524-4141

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
56886MEDICARE ID-TYPE UNSPECIFIED (04)ARMEDICARE PROVIDER #

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 this NPI number is:

CLIA Number
04D0050071
Facility Type
Hospital
Certificate Effective Date
May 20, 2025
Certificate Expiration Date
May 19, 2027
Laboratory Director
DR. YUNGUANG LIU
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Ssmh Er Group 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104858471, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 6 + 5 + 1 + 6 + 4 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104858471.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Emergency Medicine
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Emergency Medicine (Emergency Medical Services)
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Emergency Medicine (Emergency Medical Services)
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Anesthesiologist Assistant
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Anesthesiology
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Radiology (Diagnostic Radiology)
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Physical Therapist
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
Emergency Medicine
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761
General Acute Care Hospital
205 E JEFFERSON ST
SILOAM SPRINGS, AR 72761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104858471, enumerated as an "organization" on July 07, 2006.

The provider is located at 205 E JEFFERSON ST SILOAM SPRINGS, AR 72761 and the phone number is (479) 524-4141.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.