Healthcare Provider Details

I. General information

NPI: 1861313389
Provider Name (Legal Business Name): IZARD REGIONAL HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 GRASSE ST
CALICO ROCK AR
72519-8833
US

IV. Provider business mailing address

10996 FOUR SEASONS PL STE 100C
CROWN POINT IN
46307-7762
US

V. Phone/Fax

Practice location:
  • Phone: 870-297-9002
  • Fax:
Mailing address:
  • Phone: 219-228-4152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KIRNJOT SINGH
Title or Position: PRESIDENT
Credential:
Phone: 888-339-7339