NPIMap

Organization Active NPI

Izard Regional Hospital LLC

Doing business as IRH Medical Group - Grasse Family Medicine

  • Rural Health Clinic/Center
  • Calico Rock, AR
National Provider Identifier
1841928140
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
IZARD REGIONAL HOSPITAL LLC
Doing business as
IRH Medical Group - Grasse Family Medicine
Practice address
61 Grasse St Ste 1
Calico Rock, AR 72519-7013
Phone
(870) 297-2476
Fax
(870) 297-4161
NPI assigned
Aug 13, 2022
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kirnjot Singh, MD
Title
President
Phone
(219) 228-4355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

61 Grasse St Ste 1
Calico Rock, AR 72519-7013

Mailing address

10996 Four Seasons PL Ste 100C
Crown Point, IN 46307-7762
Phone (219) 228-1021

Other names 1

  • IRH Medical Group - Grasse Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230928001585 AR Part A Provider - Rural Health Clinic 6709259674 Practice locations: Calico, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841928140. Details of each certification follow.

Rural health clinic certification: CCN 043497

Legal name
IZARD REGIONAL HOSPITAL LLC
Doing business as
IRH MEDICAL GROUP - GRASSE FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 30, 2008
Last certification
Dec 15, 2022
Ownership / control type
1B
Most recent change of ownership
Aug 15, 2022 (2 total)
Organization structure
LLCProprietary
Incorporated
May 3, 2021 in TX
Enrollment address
61 Grasse St
Ste 1
Calico, AR 72519-7013
Related CCNs
041306

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Izard Regional Hospital LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Izard Regional Hospital LLC Organization, Calico Rock, AR LLC, Non-profit 5% Or Greater Direct Ownership Interest Aug 15, 2022 100%
Kirnjot Singh Individual Contracted Managing EmployeePresident Aug 15, 2022 100%
Corporate OfficerPresident Aug 15, 2022 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Izard Regional Hospital LLCCalico Rock, AR, CCN 041306 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Izard Regional Hospital LLCCalico Rock, AR, CCN 04Z306 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 15, 2022
Irh Medical Group, Batesville Family Medical ClinicBatesville, AR, CCN 048549 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 12, 2023
Irh Medical Group, Norfork Family MedicineNorfork, AR, CCN 048551 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Aug 15, 2022 Change of OwnershipThis provider was the buyer Izard County Medical Center LLCCCN 043497, AR, NPI 1245412030

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1841928140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL STE 100C",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077762",
            "telephone_number": "219-228-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 GRASSE ST STE 1",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725197013",
            "telephone_number": "870-297-2476",
            "fax_number": "870-297-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IZARD REGIONAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-13",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-228-4355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRH Medical Group - Grasse Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IRH Medical Group - Grasse Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calico Rock, AR

Sources for this page

Verify at the official NPI Registry.