Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT LARRY MORSE (ADMINISTRATOR)
(479) 754-5454
Entity
Organization
Contact information
Practice address
1100 E POPLAR ST, CLARKSVILLE, AR 72830-4419
(479) 754-5454
Mailing address
PO BOX 738, CLARKSVILLE, AR 72830-0738
(479) 754-5454
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
3028
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128851105
—
AR
Enumeration date
10/05/2005
Last updated
09/06/2013
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