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Community Medical Center of Izard County Home Health and Hospice

Organization Active NPI Community Based Hospice Care Agency · Calico Rock, AR

NPI 1790712370 · NPPES record last updated Nov 1, 2007

Key facts

NPI
1790712370
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE
Practice address
103 Grasse St.
Calico Rock, AR 72519-0438
Phone
(870) 297-3738
Fax
(870) 297-3739
NPI assigned
Jun 27, 2006
Organization subpart
No

Authorized official

Name
Ms. Angela Richmond
Title
Ceo
Phone
(870) 297-2400

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Medical Ctr Clinic Melb (5 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

103 Grasse St.
Calico Rock, AR 72519-0438

Mailing address

PO Box 438
Calico Rock, AR 72519-0438
Phone (870) 297-3738

Other identifiers

IdentifierTypeStateIssuer
11552OtherARBLUE CROSS & BLUE SHIELD

Other providers in Calico Rock, AR

All providers in Calico Rock, AR · Community Based Hospice Care Agency in Arkansas

Sources for this page

Verify at the official NPI Registry.