Organization
CRITTENDEN HOSPITAL ASSOCIATION, INC
Active
Parent organization
CRITTENDEN HOSPITAL ASSOCIATION, INC
Other names
Crittenden Regional Hospital Home Health-West Memphis
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITTENDEN HOSPITAL ASSOCIATION, INC
Authorized official
MR. EUGENE K CASHMAN III (CEO)
(870) 735-1500
Entity
Organization
Contact information
Practice address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(870) 732-7777
(870) 732-7773
Mailing address
200 W TYLER AVE, WEST MEMPHIS, AR 72301-4223
(870) 732-7777
(870) 732-7773
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4086
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117827514
—
AR
01
—
17341
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/09/2006
Last updated
02/08/2013
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