Organization
BRADLEY COUNTY MEDICAL CENTER
Active
Parent organization
BRADLEY COUNTY MEDICAL CENTER
Other names
Bradley County Medical Center Home Health Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRADLEY COUNTY MEDICAL CENTER
Authorized official
MRS. LESLIE HUITT (CEO/CFO)
(870) 226-4301
Entity
Organization
Contact information
Practice address
204 BRAGG ST, WARREN, AR 71671-2500
(870) 226-3790
(870) 226-2733
Mailing address
404 S BRADLEY ST, WARREN, AR 71671-3459
(870) 226-3731
(870) 226-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047140
MEDICARE
AR
05
—
133418514
—
AR
01
—
AR5371
STATE LICENSURE
AR
Enumeration date
02/27/2007
Last updated
04/17/2023
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