IZARD COUNTY MEDICAL CENTER LLC NPI 1881635993

NPI Information

NPI: 1881635993
Provider Name: IZARD COUNTY MEDICAL CENTER, LLC
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 04D0642313

Address:
61 GRASSE ST
CALICO ROCK, AR
ZIP 72519
Phone: (870) 297-3726
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IZARD COUNTY MEDICAL CENTER, LLC is a critical access general acute care hospital in Calico Rock, AR. IZARD COUNTY MEDICAL CENTER, LLC NPI is 1881635993. The provider is registered as an organization entity type.

The provider's business location address is:

61 GRASSE ST
CALICO ROCK, AR
ZIP 72519-438
Phone: (870) 297-3726
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 CLIA number assigned to this NPI record is 04D0642313 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 8/11/2017.

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	275N00000X	Medicare Defined Swing Bed Unit		AR3931	ARKANSAS	No
2	282NC0060X	General Acute Care Hospital	Critical Access	AR3931	ARKANSAS	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	102789105	MEDICAID	ARKANSAS
2	11306	OTHER	ARKANSAS	BCBS
3	041306	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS
4	04Z306	MEDICARE OSCAR/CERTIFICATION	ARKANSAS

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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