Healthcare Provider Details

I. General information

NPI: 1013351931
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 TWIN RIVERS DR
ARKADELPHIA AR
71923-4218
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DRIVE
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 870-245-1200
  • Fax:
Mailing address:
  • Phone: 501-202-2080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: TROY WELLS
Title or Position: PRESIDENT
Credential:
Phone: 501-202-2080