MEDICARE: UNIVERSITY OF ARKANSAS

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1649535733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF ARKANSAS

Provider Business Mailing Address
First Line	:	13500 CHENAL PKWY
Second Line	:	APT-2002
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-5389
Country	:	US
Telephone Number	:	414-581-2153
Fax Number	:

Provider Business Practice Location Address
First Line	:	13500 CHENAL PKWY
Second Line	:	APT-2002
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-5389
Country	:	US
Telephone Number	:	414-581-2153
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM CO ORDINATOR
Name	:	LINDA LINDSEY
Credential	:
Telephone Number	:	501-686-7592

Provider Enumeration Date	:	07/05/2012
Last Update Date	:	07/05/2012

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