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CRITTENDEN HOSPITAL ASSOCIATION NPI 1659611911


NPI Information

NPI: 1659611911
Provider Name: CRITTENDEN HOSPITAL ASSOCIATION

Doing Business As: CRITTENDEN REGIONAL WOMEN'S CLINIC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
228 TYLER
SUITE 304
WEST MEMPHIS, AR
ZIP 72301
Phone: (870) 733-5437
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CRITTENDEN HOSPITAL ASSOCIATION is an obstetrics gynecology in West Memphis, AR. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CRITTENDEN HOSPITAL ASSOCIATION NPI is 1659611911. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crittenden Regional Women's Clinic.

The provider's business location address is:

228 TYLER
SUITE 304
WEST MEMPHIS, AR
ZIP 72301-257
Phone: (870) 733-5437
Fax: (870) 733-5440

The provider's authorized official is William Bradford Mccormick .
The authorized official title is Cfo and has the following contact phone number (870) 735-1500.

The enumeration date for this NPI number is 2/25/2013 and was last updated on 11/21/2013.


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
1207V00000XObstetrics & GynecologyE7815ARKANSASYes

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
22775511MEDICARE PINARKANSAS

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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