Healthcare Provider Details

I. General information

NPI: 1558071894
Provider Name (Legal Business Name): CHI ST VINCENT HOSPITAL HOT SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 11/28/2022
Certification Date: 11/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WERNER ST
HOT SPRINGS AR
71913-6406
US

IV. Provider business mailing address

300 WERNER ST
HOT SPRINGS AR
71913-6406
US

V. Phone/Fax

Practice location:
  • Phone: 501-622-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: GARRETT STEWART
Title or Position: DIRECTOR OPERATIONAL FINANCE
Credential:
Phone: 501-552-3294