LAWRENCE MEMORIAL HOSPITAL
NPI 1194724658
General Acute Care Hospital - Critical Access in Walnut Ridge, AR

Active since July 18, 2005CLIA Certified · 2 labs
1309 W MAIN ST, WALNUT RIDGE, AR 72476(870) 886-1200(870) 886-5340 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2020, Mar 22, 2019, Dec 11, 2018 and 1 more (4 updates tracked since 2018).

About Lawrence Memorial Hospital NPPES

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

LAWRENCE MEMORIAL HOSPITAL (NPI 1194724658) is a healthcare organization registered as a critical access in Walnut Ridge, Arkansas and active in the NPI registry since July 2005. The organization holds 2 active CLIA laboratory certificates and lists Vanessa K Wagner, Cfo, as its authorized official.

NPPES Registry Identity

NPI1194724658
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameLAWRENCE MEMORIAL HEALTH FOUNDATION INC.
Location Address1309 W MAIN STWalnut Ridge, AR 72476-1430
Mailing AddressPo Box 839Walnut Ridge, AR 72476-0839 · (870) 886-1200 · Fax (870) 886-5340
Fax(870) 886-5340
Organization SubpartNo
Authorized OfficialVanessa K WagnerCfo · (870) 886-1263
Enumeration DateJuly 18, 2005
Last NPPES UpdateJuly 21, 20204 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
NPI 1194724658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License Licensed in AR · AR3842
1309 W MAIN ST, Walnut Ridge, AR 72476

Other Names 1

Doing Business AsLawrence Memorial Hospital

Other Identifiers 1

Medicaid233684105AR

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

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 02D0049952

Lawrence Memorial Hospital Lawrence Memorial Health Foundation, Inc · Walnut Ridge, AR
Active · expires May 31, 2028
CLIA Number02D0049952
Laboratory TypeHospital
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Stephen Locke
Laboratory Phone(870) 886-1200
Laboratory LocationLawrence Memorial Hospital Lawrence Memorial Health Foundation, Inc1309 West Main Street, Walnut Ridge, AR 72476
CLIA data matches this NPI record on: Address Name Phone
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.

Certificate of Waiver 04D2288497

Lawrence Memorial Health Foundation, Inc · Walnut Ridge, AR
Active · expires Mar 29, 2028
CLIA Number04D2288497
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorDr. Shannon S. Cooper
Laboratory Phone(870) 886-1200
Laboratory LocationLawrence Memorial Health Foundation, Inc56 Mcclellan Drive, Walnut Ridge, AR 72476
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Internal Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Family Medicine
1309 W MAIN ST
WALNUT RIDGE, AR 72476
Nurse Practitioner (Family)
1309 W MAIN ST
WALNUT RIDGE, AR 72476
General Acute Care Hospital (Critical Access)
1309 W MAIN ST
WALNUT RIDGE, AR 72476

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 Lawrence Memorial Health Foundation Inc.'s NPI number?

The NPI number for Lawrence Memorial Health Foundation Inc. is 1194724658. It was assigned to this organization in the NPPES registry on July 18, 2005. The provider is doing business as Lawrence Memorial Hospital.

Where is Lawrence Memorial Health Foundation Inc. located?

Lawrence Memorial Health Foundation Inc. is located at 1309 W Main St, Walnut Ridge, AR 72476. The listed phone number is (870) 886-1200.

What is Lawrence Memorial Health Foundation Inc.'s specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Lawrence Memorial Health Foundation Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Lawrence Memorial Health Foundation Inc. 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 Lawrence Memorial Health Foundation Inc. 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 Lawrence Memorial Health Foundation Inc. was last updated on July 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.