Organization Name: | LITTLE RIVER MEMORIAL HOSPITAL SWINGBED |
NPI Number: | 1659369130 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID DEATON (CEO) |
Mailing Address: | 451 W Locke St Ashdown |
State: | AR US |
Postal Code: | 718223325 |
Phone Number: | 8708985011 |
Fax Number: | 8708984172 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | AR4204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |