Community Medical Center Clinic Of Calico Rock

LBN: Izard County Medical Center, Llc
Community Medical Center Clinic Of Calico Rock is an health care organization with primary practice located at 61 Grasse St , Calico Rock AR 72519-7013. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Izard County Medical Center, Llc can be contacted via phone (870) 287-3726, or through Skidmore, Kim via phone (870) 297-2400.

Contact Information

Primary practice address
61 Grasse St Calico Rock AR 72519-7013
Phone: (870) 287-3726
Fax: (870) 297-4161
Website:
Map and Directions
Authorized official contact:
Name: Skidmore, Kim CEO/CFO
Phone: (870) 297-2400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1245412030
LBN Legal business name Izard County Medical Center, Llc
DBA Doing business as Community Medical Center Clinic Of Calico Rock
Authorized official Skidmore, Kim CEO/CFO
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245412030 NPPES
Arkansas MEDICAID 178732729
Arkansas Other 5C560

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