COMMUNITY MEDICAL CENTER OF IZARD COUNTY (NPI# 1972600187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972600187 |
Entity Type | Organization |
Organization Name | COMMUNITY MEDICAL CENTER OF IZARD COUNTY |
Other Organization Name | COMMUNITY MEIDCAL CENTER CLINIC OF HORSESHOE BEND |
Practice Address |
805 Third St Horseshoe Bend AR 72512-3736 |
Mailing Address |
Po Box 438 Calico Rock AR 72519-0438 |
Practice Telephone | 8706705115 |
Practice Fax Number | 8706704455 |
Mailing Telephone | 8702972449 |
Mailing Fax Number | 8702974161 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2012-09-04 |
Authorized Official Name | DR. THEODORE TOPOLEWSKI (ADMINISTRATOR) |
Authorized Official Telephone | 8702972400 |
Authorized Official Credential | CEO/CFO |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY MEDICAL CENTER OF IZARD COUNTY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
AR3931 | AR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 175236729 | 05 | |
AR | BCBS | 5F645 | 01 |
Other Name | Type Code |
---|---|
Community Meidcal Center Clinic of Horseshoe Bend | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023065117 | Community Medical Center of Izard County | Clinic/Center | 203 Tate Springs Rd, Melbourne, AR 72556-8237 | 2006-05-27 |
1831398338 | Community Medical Center of Izard County | Clinic/Center | 103 Grasse Street, Calico Rock, AR 72519-0438 | 2007-07-13 |
Street Address |
805 THIRD ST |
City | HORSESHOE BEND |
State | AR |
Zip Code | 72512-3736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982253266 | Alexandra Kurtzweil | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2019-09-09 |
1447808787 | Erin Coffey | Health Educator | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2019-08-29 |
1447808837 | Amanda J Magness | Registered Nurse | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2019-08-28 |
1437625274 | James Acup | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2018-10-19 |
1124508908 | Julie Ann Keefer | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512 | 2018-08-21 |
1215394218 | Valerie Sneathern | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2016-01-21 |
1689080384 | Veronica Cannon | Nurse Practitioner | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2014-07-02 |
1619389244 | Arcare | Clinic/Center | 805 Third St, Horseshoe Bend, AR 72512-3736 | 2014-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578837035 | Byron Boyd Henley Jr. | Pharmacist | 404 Market Street, Horseshoe Bend, AR 72512 | 2012-03-01 |
1982716296 | Sharyn L Rohder | Nurse Practitioner | 301 South Main Street, Cave City, AR 72512 | 2006-08-31 |
1932212198 | E&f Fowler Inc | Durable Medical Equipment & Medical Supplies | 600 Market St, Horseshoe Bend, AR 72512 | 2006-08-15 |
1538578372 | Shawna Solimine | Day Training/Habilitation Specialist | 1405 W Cardinal Dr, Horseshoe Bend, AR 72512-1441 | 2014-08-06 |
1184880098 | Laura Kimberly Gaskins | Occupational Therapy Assistant | 703 Birdie Dr, Horseshoe Bend, AR 72512-2864 | 2008-07-30 |
1518232289 | Tyleigh Dodge | Day Training/Habilitation Specialist | 1304 Nashville Rd, Horseshoe Bend, AR 72512-3110 | 2012-03-14 |
1093110355 | Allison Polston | Day Training/Habilitation Specialist | 500 Red Oak Ln, Horseshoe Bend, AR 72512-3707 | 2014-10-29 |
1023495025 | Sheri Callaway | Day Training/Habilitation Specialist | 306 E Church St, Horseshoe Bend, AR 72512-3718 | 2015-04-29 |
1255414132 | White River Health System | Custodial Care Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2006-10-23 |
1912557158 | Izard Health, LLC | Skilled Nursing Facility | 1203 S Bend Dr, Horseshoe Bend, AR 72512-3727 | 2019-09-19 |
Find all providers in zip 72512 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634738 | Mississippi County Hospital System | Clinic/Center | 1521 N 10th St Ste G, Blytheville, AR 72315-1424 | 2020-09-18 |
1962015859 | Lansdell Family Clinic Pllc | Clinic/Center | 1124 Main Ave, Dierks, AR 71833-9421 | 2020-08-28 |
1154945483 | Sgoh Acquisition Inc | Clinic/Center | 102 Russell Road, Rogers, AR 72756 | 2020-06-02 |
1710465190 | Arcare | Clinic/Center | 3150 E. Heritage Parkway, Farmington, AR 72753 | 2018-07-30 |
1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
1316443807 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 1306 North Lincoln Avenue, Star City, AR 71667 | 2018-04-03 |
1124539648 | Access Medical Clinic Arkansas LLC | Clinic/Center | 1016 North Fourche Avenue, Perryville, AR 72126 | 2017-10-24 |
1174044697 | Bradley County Medical Center Rural Health Clinic | Clinic/Center | 304 East Central, Warren, AR 71671-0000 | 2017-07-06 |
1144755570 | Access Medical Clinic Arkansas LLC | Clinic/Center | 16723 Hwy 62, Garfield, AR 72732 | 2017-04-24 |
1568904480 | Bradley Bibb, Md Pllc | Clinic/Center | 1176 State Highway 22 W Ste B, Dardanelle, AR 72834 | 2016-11-09 |
Find all providers with the same taxonomy |
City | HORSESHOE BEND |
Zip Code | 72512 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.