Basic Information
| Provider Information | |||||||||
| NPI: | 1013088848 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SMC REGIONAL MEDICAL CENTER | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 327 | ||||||||
| Address2: | |||||||||
| City: | BLYTHEVILLE | ||||||||
| State: | AR | ||||||||
| PostalCode: | 723160327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8708387213 | ||||||||
| FaxNumber: | 8708387100 | ||||||||
| Practice Location | |||||||||
| Address1: | 611 W LEE AVE | ||||||||
| Address2: | |||||||||
| City: | OSCEOLA | ||||||||
| State: | AR | ||||||||
| PostalCode: | 723703001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8718387213 | ||||||||
| FaxNumber: | 8708387100 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2006 | ||||||||
| LastUpdateDate: | 06/17/2008 | ||||||||
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| AuthorizedOfficialLastName: | LYNN | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 8708387462 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | AMERIS OF OSCEOLA , LLC | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282NC0060X | AR4260 | AR | Y | Hospitals | General Acute Care Hospital | Critical Access |
No ID Information.