Healthcare Provider Details

I. General information

NPI: 1316162852
Provider Name (Legal Business Name): HOT SPRINGS REHABILITATION CENTER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 RESERVE ST
HOT SPRINGS AR
71901-4195
US

IV. Provider business mailing address

105 RESERVE ST
HOT SPRINGS NATIONAL PARK AR
71901-4195
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-4411
  • Fax: 501-624-0019
Mailing address:
  • Phone: 501-624-4411
  • Fax: 501-624-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License NumberIP00090
License Number StateAR

VIII. Authorized Official

Name: MR. HOWARD J. RUTENBERG
Title or Position: HOSPITAL ADMINISTRATOR
Credential:
Phone: 501-624-4411