Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Parent organization
LITTLE RIVER MEDICAL CENTER, INC.
Other names
Little River Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official
MRS. VICKI ANN KEENER (ADM. ASSISTANT)
(870) 898-5011
Entity
Organization
Contact information
Practice address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-5011
(870) 898-4172
Mailing address
451 W LOCKE ST, ASHDOWN, AR 71822-3325
(870) 898-5011
(870) 898-4172
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR5219
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032
BCBS
AR
05
—
100699110A
—
OK
05
—
108625802
—
TX
05
—
238693105
—
AR
05
—
770033805
—
AR
Enumeration date
08/12/2005
Last updated
10/21/2020
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