Organization
LITTLE RIVER MEMORIAL HOSPITAL
Active
Other names
Little River Memorial Hospital Emergency Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DEATON (CEO)
(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
208D00000X
General Practice Physician
Primary
AR4204
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100699110B
—
OK
05
—
103216002
—
AR
05
—
108625801
—
TX
01
—
57601
BCBS ER PHYS GRP#
AR
Enumeration date
08/15/2005
Last updated
05/03/2011
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