LAWRENCE MEMORIAL HOSPITAL
NPI 1194724658
General Acute Care Hospital - Critical Access in Walnut Ridge, AR
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lawrence Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Lawrence Memorial Hospital, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ARCertificate of Waiver 04D2288497
Lawrence Memorial Health Foundation, Inc · Walnut Ridge, ARFrequently 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.
Is Lawrence Memorial Health Foundation Inc. enrolled in Medicare?
Yes. Lawrence Memorial Health Foundation Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lawrence Memorial Health Foundation Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Lawrence Memorial Health Foundation Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (4), Internal Medicine (3) and Nurse Practitioner (3). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lawrence Memorial Hospital · NPI 1194724658
Critical Access organization in Walnut Ridge, Arkansas. Organization record, active in the CMS NPPES registry since July 18, 2005.
## Identity
- **NPI:** 1194724658 (Entity type: Organization)
- **Enumerated:** July 18, 2005
- **Primary specialty:** General Acute Care Hospital - Critical Access · taxonomy 282NC0060X
- **Legal business name:** Lawrence Memorial Health Foundation Inc.
- **Organization subpart:** No
- **Authorized official:** Vanessa Wagner, CFO
## Practice location
- **Address:** 1309 W MAIN ST, Walnut Ridge, AR 72476-1430
- **Phone:** (870) 886-1200 · **Fax:** (870) 886-5340
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (4), Internal Medicine (3), Nurse Practitioner (3); 9 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2020
- **Other identifiers:** Medicaid 233684105 (AR)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194724658) · Data from the CMS NPPES public registry.