Drew Memorial Hospital, Inc.
NPI 1184972663ActiveOrganization· Nurse Anesthetist, Certified Registered· Monticello, AR
Nurse Anesthetist, Certified Registered in Monticello, Arkansas, registered in NPPES in August 2012, part of Drew Memorial Hospital, Inc. The authorized official on file is Shannon Clark, Cfo.
Overview
| NPI | 1184972663 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Drew Memorial Hospital, Inc. |
| NPI issued | Aug 15, 2012 |
| Last updated in NPPES | Oct 12, 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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