Healthcare Provider Details

I. General information

NPI: 1154112803
Provider Name (Legal Business Name): BALENTINE MEDICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 HIGDON FERRY RD
HOT SPRINGS AR
71913-6912
US

IV. Provider business mailing address

147 SUMMIT VALLEY CIR
MAUMELLE AR
72113-6096
US

V. Phone/Fax

Practice location:
  • Phone: 501-651-2000
  • Fax:
Mailing address:
  • Phone: 501-258-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT WARREN BALENTINE JR.
Title or Position: PRESIDENT
Credential: MD
Phone: 501-258-4433