Provider Demographics
NPI:1114072857
Name:PIKE COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:PIKE COUNTY MEMORIAL HOSPITAL
Other - Org Name:FAMILY CLINIC OF MURFREESBORO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE CLERK
Authorized Official - Prefix:MR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SWEEDEN
Authorized Official - Suffix:
Authorized Official - Credentials:OFFICE CLERK
Authorized Official - Phone:870-285-2182
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:870-285-2182
Mailing Address - Fax:870-285-3412
Practice Address - Street 1:1124 N WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:AR
Practice Address - Zip Code:71958-0000
Practice Address - Country:US
Practice Address - Phone:870-285-2128
Practice Address - Fax:870-285-3412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty