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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BCBS | 5C560 | 01 |
AR | 178732729 | 05 |
Other Name | Type Code |
---|---|
Community Medical Center Clinic of Calico Rock | Doing Business As Name - Organization |
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 |
Street Address |
61 GRASSE ST |
City | CALICO ROCK |
State | AR |
Zip Code | 72519-7013 |
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 |
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 |
Find all providers in zip 72519 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588015820 | Bradley Bibb Md Pllc | Clinic/Center | 2161 Ar 56 Highway, Calico Rock, AR 72519 | 2016-06-28 |
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 |
Find all providers with the same taxonomy |
City | CALICO ROCK |
Zip Code | 72519 |
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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.