Organization
CROSSETT HEALTH FOUNDATION
Active
Other names
Ashley County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP GILMORE (CEO)
(870) 364-1271
Entity
Organization
Contact information
Practice address
1003 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 364-3800
(870) 364-3811
Mailing address
1003 FRED LAGRONE DR, CROSSETT, AR 71635-4546
(870) 364-3800
(870) 364-3811
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
282NC0060X
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150522729
—
AR
Enumeration date
04/26/2012
Last updated
04/26/2012
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