# CRITTENDEN HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crittenden Regional Women's Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659611911
- **Authorized official:** MR. WILLIAM BRADFORD MCCORMICK (CFO)
- **Authorized official phone:** (870) 735-1500

## Contact information

- **Practice address:** 228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
- **Practice address phone:** (870) 733-5437
- **Practice address fax:** (870) 733-5440
- **Mailing address:** 228 TYLER, SUITE 304, WEST MEMPHIS, AR 72301-4257
- **Mailing address phone:** (870) 733-5437
- **Mailing address fax:** (870) 733-5440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | E7815 | AR | Yes |

## Other

- **Enumeration date:** 02/25/2013
- **Last updated:** 11/21/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 154327002 | — | AR |