Organization
LITTLE RIVER MEDICAL CENTER, INC.
Active
Parent organization
LITTLE RIVER MEDICAL CENTER, INC.
Other names
Memorial Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE RIVER MEDICAL CENTER, INC.
Authorized official
MRS. VICKI ANN KEENER (ADM. ASSISTANT)
(870) 898-5011
Entity
Organization
Contact information
Practice address
370 W MAIN ST, ASHDOWN, AR 71822-2750
(870) 898-4100
(870) 898-5791
Mailing address
450 W LOCKE ST, SUITE C, ASHDOWN, AR 71822-3326
(870) 898-5011
(870) 898-4172
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191446002
—
AR
01
—
5G384
BCS
AR
Enumeration date
09/13/2010
Last updated
11/10/2023
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