OUACHITA COUNTY MEDICAL CENTER NPI 1265471064

NPI Information

NPI: 1265471064
Provider Name: OUACHITA COUNTY MEDICAL CENTER
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 04D2149528

Address:
685 CALIFORNIA AVE SW
CAMDEN, AR
ZIP 71701
Phone: (870) 836-6055
Get Directions

OUACHITA COUNTY MEDICAL CENTER is a hospice care community based in Camden, AR. OUACHITA COUNTY MEDICAL CENTER NPI is 1265471064. The provider is registered as an organization entity type.

The provider's business location address is:

685 CALIFORNIA AVE SW
CAMDEN, AR
ZIP 71701-637
Phone: (870) 836-6055
Fax: (870) 836-3621

The provider's authorized official is Peggy L Abbott .
The authorized official title is President/ceo and has the following contact phone number (870) 836-1200.

The CLIA number assigned to this NPI record is 04D2149528 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 4/27/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	041503	MEDICARE OSCAR/CERTIFICATION
2	127673547	MEDICAID	ARKANSAS
3	=========002	OTHER	ARKANSAS	HUMANA MILITARY HOSPICE
4	11503	OTHER	ARKANSAS	BLUE CROSS HOSPICE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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