Healthcare Provider Details

I. General information

NPI: 1184879959
Provider Name (Legal Business Name): HOT SPRINGS REHABILITATION HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2008
Last Update Date: 11/20/2008
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 AR
71901-4195
US

V. Phone/Fax

Practice location:
  • Phone: 501-701-6217
  • Fax: 501-624-0019
Mailing address:
  • Phone: 501-701-6217
  • Fax: 501-624-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number107
License Number StateAR

VIII. Authorized Official

Name: MS. KATHY J. ARMSTRONG
Title or Position: MEDICAL/LEGAL SECRETARY
Credential:
Phone: 501-701-6217