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Organization
MCSA LLC
Active
Organization
MCSA LLC
Active
Other names
Medical Center of South Arkansas
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
701 W GROVE ST, EL DORADO, AR 71730-4415
(870) 863-2000
(870) 863-5442
Mailing address
700 W GROVE ST, EL DORADO, AR 71730-4416
(870) 863-2000
(870) 863-5442
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR3950
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130047105
—
AR
Enumeration date
05/15/2006
Last updated
04/14/2021
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