IZARD COUNTY MEDICAL CENTER LLC NPI 1245412030

NPI Information

NPI: 1245412030
Provider Name: IZARD COUNTY MEDICAL CENTER, LLC

Doing Business As: COMMUNITY MEDICAL CENTER CLINIC OF CALICO ROCK

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
61 GRASSE ST
CALICO ROCK, AR
ZIP 72519
Phone: (870) 287-3726
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IZARD COUNTY MEDICAL CENTER, LLC is a rural health clinic center in Calico Rock, AR. IZARD COUNTY MEDICAL CENTER, LLC NPI is 1245412030. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Medical Center Clinic Of Calico Rock.

The provider's business location address is:

61 GRASSE ST
CALICO ROCK, AR
ZIP 72519-013
Phone: (870) 287-3726
Fax: (870) 297-4161

The provider's authorized official is Kim Skidmore .
The authorized official title is Administrator and has the following contact phone number (870) 297-2400.

The enumeration date for this NPI number is 12/4/2007 and was last updated on 7/21/2022.

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	261QR1300X	Clinic/Center	Rural Health			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	178732729	MEDICAID	ARKANSAS
2	5C560	OTHER	ARKANSAS	BCBS

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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