IZARD COUNTY MEDICAL CENTER, LLC (NPI# 1881635993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881635993 |
| Entity Type | Organization |
| Organization Name | IZARD COUNTY MEDICAL CENTER, LLC |
| Practice Address |
61 Grasse St Calico Rock AR 72519-0438 |
| Mailing Address |
Po Box 438 Calico Rock AR 72519-0438 |
| Practice Telephone | 8702973726 |
| Practice Fax Number | 8702974161 |
| Mailing Telephone | 8702973726 |
| Mailing Fax Number | 8702974161 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2017-08-11 |
| Authorized Official Name | MS. KIM SKIDMORE (ADMINISTRATOR) |
| Authorized Official Telephone | 8702972400 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | AR3931 | AR | Hospital Units |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
AR3931 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 102789105 | 05 | |
| AR | BCBS | 11306 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245412030 | Izard County Medical Center, LLC | Clinic/Center | 61 Grasse St, Calico Rock, AR 72519-7013 | 2007-12-04 |
| Street Address |
61 GRASSE ST |
| City | CALICO ROCK |
| State | AR |
| Zip Code | 72519-0438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730584061 | Scott Britt | Nurse Practitioner | 61 Grasse St, Calico Rock, AR 72519-0438 | 2014-10-29 |
| 1245412030 | Izard County Medical Center, LLC | Clinic/Center | 61 Grasse St, Calico Rock, AR 72519-7013 | 2007-12-04 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235453192 | Chicot Memorial Medical Center | General Acute Care Hospital | 2729 Hwy 65 & 82 S, Lake Village, AR 71653-6136 | 2010-03-22 |
| 1063571107 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 and 82 South, Lake Village, AR 71653 | 2006-12-06 |
| 1265448468 | Cavhs | General Acute Care Hospital | 2307 Red Bud Cv, Benton, AR 72015-4779 | 2006-07-31 |
| 1013941806 | Booneville Community Hospital | General Acute Care Hospital | 880 W. Main St., Booneville, AR 72927 | 2006-07-10 |
| 1295767689 | Delta Memorial Hospital | General Acute Care Hospital | 811 Hwy 65 South, Dumas, AR 71639 | 2006-07-07 |
| 1497701973 | Chicot Memorial Hospital | General Acute Care Hospital | 2729 Hwy 65 & 82 South, Lake Village, AR 71653 | 2006-05-26 |
| 1457306326 | Mercy Hospital Berryville | General Acute Care Hospital | 214 Carter St, Berryville, AR 72616-4303 | 2006-05-22 |
| 1417913419 | White River Health System, Inc. | General Acute Care Hospital | 2106 E Main St, Mountain View, AR 72560-6439 | 2006-04-26 |
| 1912978875 | Mercy Hospital Waldron | General Acute Care Hospital | 1341 W 6th St, Waldron, AR 72958-7642 | 2006-01-30 |
| 1275504128 | Mercy Hospital Ozark | General Acute Care Hospital | 801 W River St, Ozark, AR 72949-3023 | 2006-01-30 |
| 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.