- Enrollment id
- O20230901003523
- Enrollment state
- AR
- Provider type code
- 00-09
- Provider type text
- PART A PROVIDER - HOSPITAL
- Npi
- 1780375592
- Multiple npi flag
- N
- Ccn
- 040088
- Associate id
- 1254794928
- Organization name
- SOUTH ARKANSAS REGIONAL HOSPITAL LLC
- Incorporation date
- 2023-04-21
- Incorporation state
- DE
- Organization type structure
- LLC
- Proprietary nonprofit
- N
- Address line 1
- 700 W GROVE ST
- City
- EL DORADO
- State
- AR
- Zip code
- 717304416
- Practice location type
- MAIN/PRIMARY HOSPITAL LOCATION
- Subgroup - general
- Y
- Subgroup - acute care
- Y
- Subgroup - alcohol drug
- N
- Subgroup - childrens
- N
- Subgroup - long-term
- N
- Subgroup - psychiatric
- N
- Subgroup - rehabilitation
- N
- Subgroup - short-term
- N
- Subgroup - swing-bed approved
- N
- Subgroup - psychiatric unit
- N
- Subgroup - rehabilitation unit
- N
- Subgroup - specialty hospital
- N
- Subgroup - other
- N
- Reh conversion flag
- N