Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Other names
Little River Memorial Hospital Home Health, Hospital Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOWELL (CHIEF EXECUTIVE OFFICER)
(870) 898-5011
Entity
Organization
Contact information
Practice address
170 S 4TH ST, ASHDOWN, AR 71822-3302
(870) 898-4120
(870) 898-3219
Mailing address
170 S 4TH ST, ASHDOWN, AR 71822-3302
(870) 898-4120
(870) 898-3219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122476514
—
AR
05
—
131064732
—
AR
05
—
133731757
—
AR
05
—
133732752
—
AR
05
—
1356322309
—
AR
01
—
17139
AR BLUE CROSS BLUE SHIELD
AR
05
—
238413514
—
AR
Enumeration date
11/08/2005
Last updated
01/13/2025
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