Healthcare Provider Details

I. General information

NPI: 1487684908
Provider Name (Legal Business Name): BAPTIST HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SPRINGHILL DR
NORTH LITTLE ROCK AR
72117-2922
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DRIVE
LITTLE ROCK AR
72205
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-2274
  • Fax: 501-202-1722
Mailing address:
  • Phone: 501-202-2080
  • Fax: 501-202-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License NumberAR3828
License Number StateAR

VIII. Authorized Official

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