Healthcare Provider Details

I. General information

NPI: 1558349803
Provider Name (Legal Business Name): ST. ANTHONY'S HOSPTIAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 HOSPITAL DR
MORRILTON AR
72110-4510
US

IV. Provider business mailing address

4 HOSPITAL DR
MORRILTON AR
72110-4510
US

V. Phone/Fax

Practice location:
  • Phone: 501-354-6262
  • Fax: 501-977-2267
Mailing address:
  • Phone: 501-354-6262
  • Fax: 501-977-2267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberAR4158
License Number StateAR

VIII. Authorized Official

Name: LYDIA HOYT
Title or Position: DIRECTOR
Credential: RN
Phone: 501-354-6262