Provider Demographics
NPI:1750099800
Name:SEVIER COUNTY MEDICAL CENTER
Entity type:Organization
Organization Name:SEVIER COUNTY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-584-1601
Mailing Address - Street 1:PO BOX 960
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-0960
Mailing Address - Country:US
Mailing Address - Phone:870-642-6420
Mailing Address - Fax:870-584-1670
Practice Address - Street 1:960 HWY 71 N
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-9415
Practice Address - Country:US
Practice Address - Phone:870-642-6420
Practice Address - Fax:870-584-1670
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEVIER COUNTY MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit