Organization
CRITTENDEN CARES, INC
Active
Parent organization
CRITTENDEN CARES, INC
Other names
Crittenden Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRITTENDEN CARES, INC
Authorized official
MR. JAMES R CARTER (CEO)
(870) 735-1500
Entity
Organization
Contact information
Practice address
228 W TYLER AVE, SUITE 108, WEST MEMPHIS, AR 72301-4223
(870) 732-3353
(870) 732-2662
Mailing address
308 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 732-3353
(870) 732-2662
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
3036139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2692710
AETNA
AR
01
—
5C324
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/20/2006
Last updated
04/20/2008
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