| Organization Name: | COMMUNITY MEDICAL CENTER OF IZARD COUNTY HOME HEALTH AND HOSPICE |
| NPI Number: | 1790712370 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANGELA RICHMOND (CEO) |
| Mailing Address: | 103 Grasse St. Calico Rock |
| State: | AR US |
| Postal Code: | 725190438 |
| Phone Number: | 8702973738 |
| Fax Number: | 8702973739 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |