Organization
OUACHITA COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANDERS (CFO)
(870) 836-1387
Entity
Organization
Contact information
Practice address
638 CALIFORNIA AVE SW, CAMDEN, AR 71701-4604
(870) 836-1387
(870) 836-1358
Mailing address
PO BOX 797, CAMDEN, AR 71711-0797
(870) 836-1338
(870) 836-1358
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56871
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/19/2006
Last updated
10/18/2007
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