Healthcare Provider Details

I. General information

NPI: 1841379161
Provider Name (Legal Business Name): LEO N LEVI MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PROSPECT AVE
HOT SPRINGS AR
71901-4003
US

IV. Provider business mailing address

300 PROSPECT AVE
HOT SPRINGS AR
71901-4003
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-1281
  • Fax: 501-622-3343
Mailing address:
  • Phone: 501-624-1281
  • Fax: 501-622-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. PATRICK G MCCABE JR.
Title or Position: PRESIDENT & CEO
Credential:
Phone: 501-622-3497