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Organization
LITTLE RIVER MEMORIAL HOSPITAL
Active
Organization
LITTLE RIVER MEMORIAL HOSPITAL
Active
Other names
Little River Memorial Hospital Emergency Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEATON (CEO)
(870) 898-5011
Entity
Organization
Contact information
Practice address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-5011
(870) 898-4172
Mailing address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-5011
(870) 898-4172
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AR4204
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699110B
—
OK
05
—
103216002
—
AR
05
—
108625801
—
TX
01
—
57601
BCBS ER PHYS GRP#
AR
Enumeration date
08/15/2005
Last updated
05/03/2011
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