Healthcare Provider Details

I. General information

NPI: 1548468010
Provider Name (Legal Business Name): BAPTIST HEALTH HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

198 SOUTH MAIN STREET
CLARENDON AR
72029-2756
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DRIVE SUITE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 870-747-3349
  • Fax:
Mailing address:
  • Phone: 501-812-7800
  • Fax: 501-812-7777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateAR

VIII. Authorized Official

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