Crittenden Hospital Association
Internal Medicine in West Memphis, AR. Organization (NPI-2).
NPI number1619274792
StatusActive
Last updated in NPPESFeb 25, 2011
Details
- NPI
- 1619274792
- Entity type
- Organization (NPI-2)
- Legal business name
- Crittenden Hospital Association
- Organization subpart
- No
- Enumeration date
- Feb 25, 2011
- Last updated
- Feb 25, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 208000000X | Pediatrics | – | – |
Other names
- Mid-South Minor Medical And Primary Care (Doing Business As)
Practice location
710 N Missouri StWest Memphis, AR 72301-3150
Phone 870-735-1500 · Fax 870-732-7711
Mailing address
200 Tyler StWest Memphis, AR 72301-2248
Phone 870-735-1500 · Fax 870-732-7711
Authorized official
James R Carter
Ceo
8707351500
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