Healthcare Provider Details

I. General information

NPI: 1487927919
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2012
Last Update Date: 10/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3343 SPRINGHILL DRIVE SUITE 1035
NORTH LITTLE ROCK AR
72117-2930
US

IV. Provider business mailing address

3343 SPRINGHILL DRIVE SUITE 1035
NORTH LITTLE ROCK AR
72117-2930
US

V. Phone/Fax

Practice location:
  • Phone: 501-975-7676
  • Fax: 501-975-0653
Mailing address:
  • Phone: 501-975-7676
  • Fax: 501-975-0653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

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