# CRITTENDEN HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mid-South Minor Medical and Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619274792
- **Authorized official:** MR. JAMES R CARTER JR. (CEO)
- **Authorized official phone:** (870) 735-1500

## Contact information

- **Practice address:** 710 N MISSOURI ST, WEST MEMPHIS, AR 72301-3150
- **Practice address phone:** (870) 735-1500
- **Practice address fax:** (870) 732-7711
- **Mailing address:** 200 TYLER ST, WEST MEMPHIS, AR 72301-2248
- **Mailing address phone:** (870) 735-1500
- **Mailing address fax:** (870) 732-7711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 02/25/2011