Healthcare Provider Details

I. General information

NPI: 1053692137
Provider Name (Legal Business Name): HOT SPRING COUNTY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2011
Last Update Date: 09/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1002 SCHNEIDER DR SUITE 102
MALVERN AR
72104-4816
US

IV. Provider business mailing address

1001 SCHNEIDER DR
MALVERN AR
72104-4811
US

V. Phone/Fax

Practice location:
  • Phone: 501-332-1012
  • Fax: 501-332-7088
Mailing address:
  • Phone: 501-332-1000
  • Fax: 501-332-7395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SHEILA WILLIAMS
Title or Position: CEO
Credential:
Phone: 501-332-1004