IZARD COUNTY MEDICAL CENTER, LLC


Address: 61 Grasse St, Calico Rock, AR 72519-7013
Phone: 8702873726

IZARD COUNTY MEDICAL CENTER, LLC (NPI# 1245412030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245412030
Entity Type Organization
Organization Name IZARD COUNTY MEDICAL CENTER, LLC
Other Organization Name COMMUNITY MEDICAL CENTER CLINIC OF CALICO ROCK
Practice Address 61 Grasse St
Calico Rock
AR 72519-7013
Mailing Address Po Box 438
Calico Rock
AR 72519-0438
Practice Telephone 8702873726
Practice Fax Number 8702974161
Mailing Telephone (870) 297-3726
Mailing Fax Number 8702974161
Enumeration Date 2007-12-04
Last Update Date 2017-09-25
Authorized Official Name MRS. KIM SKIDMORE (ADMINISTRATOR)
Authorized Official Telephone 8702972400
Authorized Official Credential CEO/CFO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR BCBS 5C560 01
AR 178732729 05

Other Provider/Organization Names

Other Name Type Code
Community Medical Center Clinic of Calico Rock Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1881635993 Izard County Medical Center, LLC Medicare Defined Swing Bed Unit 61 Grasse St, Calico Rock, AR 72519-0438 2006-06-09

Office Location

Street Address 61 GRASSE ST
City CALICO ROCK
State AR
Zip Code 72519-7013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881635993 Izard County Medical Center, LLC Medicare Defined Swing Bed Unit 61 Grasse St, Calico Rock, AR 72519-0438 2006-06-09
1730584061 Scott Britt Nurse Practitioner 61 Grasse St, Calico Rock, AR 72519-0438 2014-10-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760096630 Speech and Swallowing Specialists of Arkansas LLC Clinic/Center 557 Pleasant Valley Road, Calico Rock, AR 72519 2020-09-08
1144862111 Reagan Nicole Watson Technician 40 Pine Forest Trail, Jordan, AR 72519 2019-10-11
1588015820 Bradley Bibb Md Pllc Clinic/Center 2161 Ar 56 Highway, Calico Rock, AR 72519 2016-06-28
1821437302 Kristie D Branscum Nurse Practitioner 35 Grasse St, Calico Rock, AR 72519 2013-06-18
1295998326 John Tipton Lane Dentist 2860 Park St., Calico Rock, AR 72519 2008-07-09
1255599189 Cmc Home Health and Hospice, LLC Home Health 54 Grasse St, Calico Rock, AR 72519 2008-05-28
1942276217 Shad Ashley Mcclain Chiropractor 201 Hwy 223 (jct 56 & 223), Calico Rock, AR 72519 2006-02-27
1699741082 Robert C Lane Anesthesiology 35 Grasse Street, Calico Rock, AR 72519 2006-02-24
1164896650 White River Health System, Inc Family Medicine 35 Grasse St, Calico Rock, AR 72519 2015-11-20
1063717106 Jackie Cheatham Emergency Response System Companies 907 Ar Hwy 56, Calico Rock, AR 72519 2011-01-21
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588015820 Bradley Bibb Md Pllc Clinic/Center 2161 Ar 56 Highway, Calico Rock, AR 72519 2016-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124634738 Mississippi County Hospital System Clinic/Center 1521 N 10th St Ste G, Blytheville, AR 72315-1424 2020-09-18
1962015859 Lansdell Family Clinic Pllc Clinic/Center 1124 Main Ave, Dierks, AR 71833-9421 2020-08-28
1154945483 Sgoh Acquisition Inc Clinic/Center 102 Russell Road, Rogers, AR 72756 2020-06-02
1710465190 Arcare Clinic/Center 3150 E. Heritage Parkway, Farmington, AR 72753 2018-07-30
1043716525 Mmc Rural Health Clinics, Pllc Clinic/Center 733 Roberts Drive, Monticello, AR 71655 2018-04-03
1316443807 Mmc Rural Health Clinics, Pllc Clinic/Center 1306 North Lincoln Avenue, Star City, AR 71667 2018-04-03
1124539648 Access Medical Clinic Arkansas LLC Clinic/Center 1016 North Fourche Avenue, Perryville, AR 72126 2017-10-24
1174044697 Bradley County Medical Center Rural Health Clinic Clinic/Center 304 East Central, Warren, AR 71671-0000 2017-07-06
1144755570 Access Medical Clinic Arkansas LLC Clinic/Center 16723 Hwy 62, Garfield, AR 72732 2017-04-24
1568904480 Bradley Bibb, Md Pllc Clinic/Center 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 2016-11-09
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Competitor

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City CALICO ROCK
Zip Code 72519

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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