Organization
BOONEVILLE COMMUNITY HOSPITAL, INC.
Active
Other names
Booneville Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C. FIELDS (CHAIRMAN)
(479) 675-2800
Entity
Organization
Contact information
Practice address
880 W MAIN, BOONEVILLE, AR 72927
(479) 675-2800
(479) 675-3406
Mailing address
P.O. BOX 290, 880 W. MAIN, BOONEVILLE, AR 72927
(479) 675-2800
(479) 675-3406
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AR4155
AR
251E00000X
Home Health Agency
AR4627
AR
261QR1300X
Rural Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
AR4154
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11318
BC HOSPITAL
AR
05
—
136520001
—
AR
05
—
150084757
—
AR
05
—
150111105
—
AR
05
—
150114514
—
AR
05
—
150115732
—
AR
05
—
150116765
—
AR
05
—
150119752
—
AR
05
—
150214002
—
AR
05
—
154911729
—
AR
01
—
17171
BC HHA
AR
05
—
195067729
—
AR
05
—
770002005
—
AR
01
—
DB4073
RAILROAD MEDICARE PIN
—
Enumeration date
06/21/2005
Last updated
03/04/2013
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