Provider Demographics
NPI:1356773493
Name:ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Entity type:Organization
Organization Name:ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-819-4040
Mailing Address - Street 1:3024 RED WOLF BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7431
Mailing Address - Country:US
Mailing Address - Phone:870-819-4040
Mailing Address - Fax:870-336-0239
Practice Address - Street 1:3024 RED WOLF BLVD STE 1
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7415
Practice Address - Country:US
Practice Address - Phone:870-819-4040
Practice Address - Fax:870-333-5271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-31
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
No282N00000XHospitalsGeneral Acute Care Hospital