Organization
COMMUNITY MEDICAL CENTER OF IZARD COUNTY
Active
Parent organization
COMMUNITY MEDICAL CENTER OF IZARD COUNTY
Other names
Community Medical Center Clinic of Melbourne
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL CENTER OF IZARD COUNTY
Authorized official
DR. TED TOPOLEWSKI CEO/CFO (ADMINISTRATOR)
(870) 297-2400
Entity
Organization
Contact information
Practice address
203 TATE SPRINGS RD, MELBOURNE, AR 72556-8237
(870) 368-1911
(870) 368-1910
Mailing address
203 TATE SPRINGS RD, MELBOURNE, AR 72556-8237
(870) 368-1911
(870) 368-1910
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
AR3931
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175237729
—
AR
01
—
5B958
BCBS
AR
Enumeration date
05/27/2006
Last updated
09/04/2012
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