Healthcare Provider Details

I. General information

NPI: 1356773493
Provider Name (Legal Business Name): ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 03/01/2023
Certification Date: 03/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3024 RED WOLF BLVD STE 1
JONESBORO AR
72401-7415
US

IV. Provider business mailing address

3024 RED WOLF BLVD STE 1
JONESBORO AR
72401-7431
US

V. Phone/Fax

Practice location:
  • Phone: 870-819-4040
  • Fax: 870-333-5271
Mailing address:
  • Phone: 870-819-4040
  • Fax: 870-336-0239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES R COX
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 870-819-4040