COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE NPI 1790712370

NPI Information

NPI: 1790712370
Provider Name: COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
103 GRASSE ST.
CALICO ROCK, AR
ZIP 72519
Phone: (870) 297-3738
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COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE is a hospice care community based in Calico Rock, AR. COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE NPI is 1790712370. The provider is registered as an organization entity type.

The provider's business location address is:

103 GRASSE ST.
CALICO ROCK, AR
ZIP 72519-438
Phone: (870) 297-3738
Fax: (870) 297-3739

The provider's authorized official is Angela Richmond .
The authorized official title is Ceo and has the following contact phone number (870) 297-2400.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 11/1/2007.

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	041552	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MEDICARE PROVIDER NUMBER
2	11552	OTHER	ARKANSAS	BLUE CROSS & BLUE SHIELD

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: 11/14/2023

NPI Synchronization or Removal

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