Provider Demographics
NPI:1194958249
Name:CRITTENDEN HOSPITAL ASSOCIATION
Entity type:Organization
Organization Name:CRITTENDEN HOSPITAL ASSOCIATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-735-1500
Mailing Address - Street 1:228 TYLER ST
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-4215
Mailing Address - Country:US
Mailing Address - Phone:870-735-1500
Mailing Address - Fax:870-732-7711
Practice Address - Street 1:310 JUDGE SMITH DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2220
Practice Address - Country:US
Practice Address - Phone:870-735-1500
Practice Address - Fax:870-732-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty