Drew County Memorial Hospital
NPI 1124074430ActiveOrganization· Nurse Anesthetist, Certified Registered· Monticello, AR
Nurse Anesthetist, Certified Registered in Monticello, Arkansas, registered in NPPES in May 2006, part of Drew County Memorial Hospital. The authorized official on file is Shannon R. Clark, Cfo.
Overview
| NPI | 1124074430 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Drew County Memorial Hospital |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Oct 25, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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