Healthcare Provider Details

I. General information

NPI: 1154330140
Provider Name (Legal Business Name): HOT SPRINGS NATIONAL PARK HOSPITAL HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2006
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 MALVERN AVE
HOT SPRINGS AR
71901-7752
US

IV. Provider business mailing address

1910 MALVERN AVE BUSINESS OFFICE
HOT SPRINGS AR
71901-7752
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-1000
  • Fax: 501-321-2922
Mailing address:
  • Phone: 501-321-1000
  • Fax: 501-321-2922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number4187
License Number StateAR

VIII. Authorized Official

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