Izard Regional Hospital Llc | |
61 Grasse St Calico Rock AR 72519-7013 | |
(870) 297-3726 | |
Not Available |
Full Name | Izard Regional Hospital Llc |
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Speciality | General Acute Care Hospital |
Location | 61 Grasse St, Calico Rock, Arkansas |
Authorized Official Name and Position | Kirnjot Singh (PRESIDENT) |
Authorized Official Contact | 2192284355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Izard Regional Hospital Llc 10996 Four Seasons Pl Ste 100c Crown Point IN 46307-7762 Ph: (219) 228-1021 | Izard Regional Hospital Llc 61 Grasse St Calico Rock AR 72519-7013 Ph: (870) 297-3726 |
NPI Number | 1619697919 |
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Provider Enumeration Date | 08/29/2022 |
Last Update Date | 10/26/2023 |
Medicare PECOS PAC ID | 6709259674 |
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Medicare Enrollment ID | O20240715000885 |
Identifier | Type | State | Issuer |
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1619697919 | NPI | - | NPPES |
Provider Name | William Coleman Kent |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1316943632 PECOS PAC ID: 7214849967 Enrollment ID: I20031103000189 |
Provider Name | Stephen K Blackburn |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1730147083 PECOS PAC ID: 2668464256 Enrollment ID: I20040401001761 |
Provider Name | Frances R. Ross |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821096603 PECOS PAC ID: 1850388695 Enrollment ID: I20040426001175 |
Provider Name | Homer E Brooks |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1154397537 PECOS PAC ID: 7012019094 Enrollment ID: I20070221000575 |
Provider Name | Mika D. Seay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699086892 PECOS PAC ID: 4981897303 Enrollment ID: I20101019000058 |
Provider Name | Thelma J Owens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801140652 PECOS PAC ID: 1951556729 Enrollment ID: I20130227000545 |
Provider Name | Leroy Maupin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003355447 PECOS PAC ID: 6709890593 Enrollment ID: I20170426000653 |