Healthcare Provider Details

I. General information

NPI: 1912937533
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 10/28/2015
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

9801 BAPTIST HEALTH DRIVE
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-245-2622
  • Fax: 501-246-8194
Mailing address:
  • Phone: 501-202-2080
  • Fax: 501-202-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number810
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number802
License Number StateAR

VIII. Authorized Official

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