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LITTLE RIVER MEMORIAL HOSPITAL NPI 1457353914


NPI Information

NPI: 1457353914
Provider Name: LITTLE RIVER MEMORIAL HOSPITAL

Doing Business As: LITTLE RIVER MEMORIAL HOSPITAL EMERGENCY GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
451 W LOCKE ST
ASHDOWN, AR
ZIP 71822
Phone: (870) 898-5011
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LITTLE RIVER MEMORIAL HOSPITAL is a general practice in Ashdown, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee LITTLE RIVER MEMORIAL HOSPITAL NPI is 1457353914. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Little River Memorial Hospital Emergency Group.

The provider's business location address is:

451 W LOCKE ST
ASHDOWN, AR
ZIP 71822-325
Phone: (870) 898-5011
Fax: (870) 898-4172

The provider's authorized official is David Deaton .
The authorized official title is Ceo and has the following contact phone number (870) 898-5011.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 5/3/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeAR4204ARKANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100699110BMEDICAIDOKLAHOMA
2108625801MEDICAIDTEXAS
357601MEDICARE ID-TYPE UNSPECIFIEDARKANSASER PHYS GROUP PROV#
4CQ3034MEDICARE ID-TYPE UNSPECIFIEDARKANSASRR MCR PROV GRP#
5103216002MEDICAIDARKANSAS
657601OTHERARKANSASBCBS ER PHYS GRP#

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

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