Healthcare Provider Details

I. General information

NPI: 1659319556
Provider Name (Legal Business Name): HOPE MEDICAL PARK HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S MAIN ST
HOPE AR
71801-8124
US

IV. Provider business mailing address

2001 S MAIN ST
HOPE AR
71801-8124
US

V. Phone/Fax

Practice location:
  • Phone: 870-722-2416
  • Fax:
Mailing address:
  • Phone: 870-722-2400
  • Fax: 870-722-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License NumberAR4348
License Number StateAR

VIII. Authorized Official

Name: MR. ALLEN JAMES GAMBLE
Title or Position: CORPORATE CONTROLLER
Credential:
Phone: 417-881-3650