Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Other names
JRMC AMBULANCE
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) 754-6600
Mailing address
1100 E POPLAR ST, CLARKSVILLE, AR 72830-4419
(479) 754-5454
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
827
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002
BX PROVIDER #
AR
Enumeration date
04/26/2007
Last updated
08/22/2020
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