Organization
CROSSETT HEALTH FOUNDATION
Active
Other names
Ashley County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP K GILMORE (CEO)
(870) 364-1271
Entity
Organization
Contact information
Practice address
1015 UNITY RD, CROSSETT, AR 71635-9443
(870) 364-4111
(870) 364-3636
Mailing address
PO BOX 400, CROSSETT, AR 71635-0400
(870) 364-4111
(870) 364-3636
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
AR4238
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10024
BLUE CROSS PROVIDER #
AR
05
—
100953105
—
AR
05
—
100985002
—
AR
01
—
56897
MEDICARE & BC PHYSICIAN #
AR
Enumeration date
07/01/2005
Last updated
03/07/2023
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