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Drew County Memorial Hospital

Certified Registered Nurse Anesthetist in Monticello, AR · enumerated 2006 · authorized official Shannon Clark, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124074430

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Registry record

Entity type Organization (Type 2)
Legal business name Drew County Memorial Hospital
Other name <Unavail>
Parent organization Drew County Memorial Hospital
Practice address 778 Scogin Drive, Monticello, AR, 71655
Fax (952) 442-3620
Enumeration date May 26, 2006
Last updated in NPPES Oct 25, 2012

Taxonomy & classification

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Shannon Clark
Title Cfo

Other identifiers

Identifier Type State Issuer
159964002 Medicaid AR -
5F446 Other AR BLUE CROSS OF AR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Drew County Memorial Hospital?
Drew County Memorial Hospital is registered in NPPES as a Certified Registered Nurse Anesthetist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-10-25.