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Contact Information

CRITTENDEN MEMORIAL HOSPITAL
228 TYLER STREET
SUITE 304
WEST MEMPHIS, AR72301-4221
 Phone: 870-733-5437
 Fax: 870-733-5440
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CRITTENDEN MEMORIAL HOSPITAL

NPI # 1134185499
LBN Legal business name CRITTENDEN MEMORIAL HOSPITAL
Authorized official RAMONA TAYLOR - (DIRECTOR OF DEVELOPMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2006
Last updated 12/04/2009 - About 17 years ago
Identifiers
AR Medicaid 154327002
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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