Organization
BOONEVILLE COMMUNITY HOSPITAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBIN (BOB) CALVIN ROBERTSON (CHIEF FINANCIAL OFFICER)
(479) 675-2800
Entity
Organization
Contact information
Practice address
880 WEST MAIN, BOONEVILLE, AR 72927-0290
(479) 675-2800
(479) 675-2881
Mailing address
PO BOX 290, BOONEVILLE, AR 72927-0290
(479) 675-2800
(479) 675-2881
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
AR4154
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043491
BCH RHC
AR
01
—
047171
BCH HOME HEALTH AGENCY
AR
01
—
04Z318
BCH SWING BED
AR
01
—
11318
ARK BCBS
AR
01
—
5C893
BCH CLINIC
AR
Enumeration date
11/01/2006
Last updated
08/22/2020
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