Provider Demographics
NPI:1891778049
Name:ST ANTHONY'S HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:ST ANTHONY'S HOSPITAL ASSOCIATION
Other - Org Name:CHI ST. VINCENT MORRILTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR REVENUE CYCLE
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:STEARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-552-3171
Mailing Address - Street 1:4 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MORRILTON
Mailing Address - State:AR
Mailing Address - Zip Code:72110-4510
Mailing Address - Country:US
Mailing Address - Phone:501-977-2300
Mailing Address - Fax:501-977-2256
Practice Address - Street 1:4 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MORRILTON
Practice Address - State:AR
Practice Address - Zip Code:72110-4510
Practice Address - Country:US
Practice Address - Phone:501-977-2300
Practice Address - Fax:501-977-2256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-22
Last Update Date:2015-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR261QR1300X
ARAR4313282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127800756Medicaid
AR101615105Medicaid
AR127098765Medicaid
AR126745732Medicaid
AR126932752Medicaid
AR126933757Medicaid
AR126932752Medicaid