# COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225065808
- **Authorized official:** DR. A. MERYL GRASSE M.D. (CO-ADMINISTRATOR)
- **Authorized official phone:** (870) 297-3726

## Contact information

- **Practice address:** 103 GRASSE ST., CALICO ROCK, AR 72519-0438
- **Practice address phone:** (870) 297-3738
- **Practice address fax:** (870) 297-3739
- **Mailing address:** PO BOX 438, CALICO ROCK, AR 72519-0438
- **Mailing address phone:** (870) 297-3738
- **Mailing address fax:** (870) 297-3739

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 08/22/2020