MEDICARE: PIKE COUNTY MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1114072857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIKE COUNTY MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX F
Second Line	:
City	:	MURFREESBORO
State	:	AR
Zip	:	71958-1005
Country	:	US
Telephone Number	:	870-285-2182
Fax Number	:	870-285-3412

Provider Business Practice Location Address
First Line	:	1124 N WASHINGTON AVE
Second Line	:
City	:	MURFREESBORO
State	:	AR
Zip	:	71958-0000
Country	:	US
Telephone Number	:	870-285-2128
Fax Number	:	870-285-3412

Authorized Official
Title or Position	:	OFFICE CLERK
Name	:	MR. BARBARA ANN SWEEDEN
Credential	:	OFFICE CLERK
Telephone Number	:	870-285-2182

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	08/22/2020

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Directions to “PIKE COUNTY MEMORIAL HOSPITAL ” Practice Location

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