Organization
IZARD COUNTY MEDICAL CENTER, LLC
Active
Other names
Community Medical Center Clinic of Calico Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM SKIDMORE CEO/CFO (ADMINISTRATOR)
(870) 297-2400
Entity
Organization
Contact information
Practice address
61 GRASSE ST, CALICO ROCK, AR 72519-7013
(870) 287-3726
(870) 297-4161
Mailing address
PO BOX 438, CALICO ROCK, AR 72519-0438
(870) 297-3726
(870) 297-4161
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178732729
—
AR
01
—
5C560
BCBS
AR
Enumeration date
12/04/2007
Last updated
07/21/2022
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