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CRITTENDEN MEMORIAL HOSPITAL NPI 1134185499


NPI Information

NPI: 1134185499
Provider Name: CRITTENDEN MEMORIAL HOSPITAL

Doing Business As: THE CHILDRENS CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
228 TYLER STREET
SUITE 304
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 733-5437
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CRITTENDEN MEMORIAL HOSPITAL is a pediatrics in West Memphis, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CRITTENDEN MEMORIAL HOSPITAL NPI is 1134185499. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Childrens Clinic.

The provider's business location address is:

228 TYLER STREET
SUITE 304
WEST MEMPHIS, AR
ZIP 72301-221
Phone: (870) 733-5437
Fax: (870) 733-5440

The provider's authorized official is Ramona Taylor .
The authorized official title is Director Of Development and has the following contact phone number (870) 735-5527.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 12/4/2009.


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
1208000000XPediatricsYes

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
1154327002MEDICAIDARKANSAS

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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