Healthcare Provider Details

I. General information

NPI: 1902868391
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 SCHNEIDER DR
MALVERN AR
72104
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DRIVE
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-332-1000
  • Fax: 501-337-3675
Mailing address:
  • Phone: 501-202-2080
  • Fax: 501-202-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number4207
License Number StateAR

VIII. Authorized Official

Name: TROY WELLS
Title or Position: PRESIDENT
Credential:
Phone: 501-202-2080