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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