Healthcare Provider Details

I. General information

NPI: 1013091925
Provider Name (Legal Business Name): SALINE HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL PARK DR
BENTON AR
72015-3353
US

IV. Provider business mailing address

1 MEDICAL PARK DR
BENTON AR
72015-3353
US

V. Phone/Fax

Practice location:
  • Phone: 501-776-6000
  • Fax: 501-776-6048
Mailing address:
  • Phone: 501-776-6000
  • Fax: 501-776-6048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number710772959
License Number StateAR

VIII. Authorized Official

Name: CHARLOTTE LAWRENCE
Title or Position: SECRETARY
Credential:
Phone: 615-920-7000