Provider Demographics
NPI:1518117449
Name:PIKE COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:PIKE COUNTY MEMORIAL HOSPITAL
Other - Org Name:PCMH RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRITTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-285-3182
Mailing Address - Street 1:315 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:71958-9541
Mailing Address - Country:US
Mailing Address - Phone:870-285-3182
Mailing Address - Fax:870-285-3305
Practice Address - Street 1:315 E 13TH ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:AR
Practice Address - Zip Code:71958-9541
Practice Address - Country:US
Practice Address - Phone:870-285-3182
Practice Address - Fax:870-285-3305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIKE COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR82282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital