Drew Memorial Anesthesia Services

LBN: Drew County Memorial Hospital
Drew Memorial Anesthesia Services is an health care organization with primary practice located at 778 Scogin Drive , Monticello AR 71655-5729. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Drew County Memorial Hospital can be contacted via phone (870) 367-2411, or through Clark, Shannon R via phone (870) 460-3599.

Contact Information

Primary practice address
778 Scogin Drive Monticello AR 71655-5729
Fax: (952) 442-3620
Website:
Authorized official contact:
Name: Clark, Shannon R

Profile Details

NPI number 1124074430
LBN Legal business name Drew County Memorial Hospital
DBA Doing business as Drew Memorial Anesthesia Services
Authorized official Clark, Shannon R
Entity Organization
Organization subpart 1 Yes
Enumeration date May 26th, 2006
Last updated Oct 25th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124074430 NPPES
Arkansas MEDICAID 159964002
Arkansas Other 5F446

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