Healthcare Provider Details

I. General information

NPI: 1255513453
Provider Name (Legal Business Name): PHILLIPS HOSPITAL COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2007
Last Update Date: 09/02/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 MARTIN LUTHER KING JR DR
HELENA AR
72342-8998
US

IV. Provider business mailing address

1801 MARTIN LUTHER KING JR DR
HELENA AR
72342-8998
US

V. Phone/Fax

Practice location:
  • Phone: 870-338-5800
  • Fax:
Mailing address:
  • Phone: 870-816-3900
  • Fax: 870-816-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM TAYLOR MARSHALL
Title or Position: DIRECTOR OF PROVIDER ENROLLMENT
Credential:
Phone: 615-465-7626