Organization
COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE
Active
Organization
COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANGELA RICHMOND (CEO)
(870) 297-2400
Entity
Organization
Contact information
Practice address
103 GRASSE ST., CALICO ROCK, AR 72519-0438
(870) 297-3738
(870) 297-3739
Mailing address
PO BOX 438, CALICO ROCK, AR 72519-0438
(870) 297-3738
(870) 297-3739
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11552
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
06/27/2006
Last updated
11/01/2007
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