Organization
JOHNSON REGIONAL MEDICAL CENTER
Active
Other names
JRMC Provider Based Physicians
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) 754-5454
(479) 754-5311
Mailing address
PO BOX 738, CLARKSVILLE, AR 72830-0738
(479) 754-5454
(479) 754-5311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128372002
—
AR
01
—
57977
ARKANSAS BLUE CROSS
AR
Enumeration date
05/06/2006
Last updated
02/04/2009
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