Organization
JOHN ED CHAMBERS MEMORIAL HOSPITAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT PEEK (CEO)
(479) 495-2241
Entity
Organization
Contact information
Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-2241
(479) 495-6290
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
(479) 495-2241
(479) 495-6290
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
AR4293
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113073002
—
AR
01
—
57988
BLUE CROSS PROV. NUMBER
AR
Enumeration date
06/26/2006
Last updated
09/16/2021
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