Community Medical Center of Izard County
Organization Active NPI Rural Health Clinic/Center · Melbourne, AR
NPI 1023065117 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1023065117
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- AR3931 (AR)
- Legal business name
- COMMUNITY MEDICAL CENTER OF IZARD COUNTY
- Practice address
- 203 Tate Springs Rd
Melbourne, AR 72556-8237 - Phone
- (870) 368-1911
- Fax
- (870) 368-1910
- NPI assigned
- May 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY MEDICAL CENTER OF IZARD COUNTY
Authorized official
- Name
- Dr. Ted Topolewski, CEO/CFO
- Title
- Administrator
- Phone
- (870) 297-2400
Parent organization (reported in NPPES) 1
Practitioners 3
-
Fern Sherrell, APN
-
Kimberly Moser Smith, A.P.N
National Provider Directory
- Part of
- Medical Ctr Clinic Melb
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | AR3931 | AR | Yes |
Addresses
Primary practice location
203 Tate Springs Rd
Melbourne, AR 72556-8237
Mailing address
203 Tate Springs Rd
Melbourne, AR 72556-8237
Phone (870) 368-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175237729 | Medicaid | AR | |
| 5B958 | Other | AR | BCBS |
Other names
- Community Medical Center Clinic of Melbourne
Other providers in Melbourne, AR
- Brianna Bumpous
- Caeverett, Inc
- Caeverett, Inc
- Debbie L Campbell
- Tiffany Casey
- Conway County Community Service, Inc
- Holly R Cooper
- Kennedy Lake Cooper
- Regan Cotter
- Ryan Hunter Daniels
All providers in Melbourne, AR · Rural Health Clinic/Center in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.