| Organization Name: | JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC. |
| NPI Number: | 1346431384 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL SCOTT PEEK (CEO) |
| Mailing Address: | 310 West Broadway Havana |
| State: | AR US |
| Postal Code: | 728420099 |
| Phone Number: | 4794762827 |
| Fax Number: | 4794762580 |
| NPI Enumeration Date: | 08/06/2007 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | AR4293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |