Organization
IZARD COUNTY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM SKIDMORE CEO (ADMINISTRATOR)
(870) 297-2400
Entity
Organization
Contact information
Practice address
61 GRASSE ST, CALICO ROCK, AR 72519-0438
(870) 297-3726
(870) 297-4161
Mailing address
PO BOX 438, CALICO ROCK, AR 72519-0438
(870) 297-3726
(870) 297-4161
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
AR3931
AR
282NC0060X
Critical Access Hospital
Primary
AR3931
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102789105
—
AR
01
—
11306
BCBS
AR
Enumeration date
06/09/2006
Last updated
08/11/2017
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