Provider Demographics
NPI:1588989867
Name:PIKE COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:PIKE COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/COUNTY JUDGE
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-285-2414
Mailing Address - Street 1:PO BOX F
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:71958-1005
Mailing Address - Country:US
Mailing Address - Phone:870-285-2414
Mailing Address - Fax:870-285-3281
Practice Address - Street 1:PO BOX F
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:AR
Practice Address - Zip Code:71958-1005
Practice Address - Country:US
Practice Address - Phone:870-285-2414
Practice Address - Fax:870-285-3281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR82282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural