Healthcare Provider Details
I. General information
NPI: 1568395309
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1005 N JACKSON STE B
MAGNOLIA AR
71753-2447
US
IV. Provider business mailing address
11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US
V. Phone/Fax
- Phone: 870-235-3200
- Fax: 870-235-3204
- Phone: 501-812-7800
- Fax: 501-812-7777
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TROY
WELLS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 501-202-2080