Healthcare Provider Details

I. General information

NPI: 1295862647
Provider Name (Legal Business Name): ADVANCED CARE HOSPITAL OF WHITE COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3214 EAST RACE AVE
SEARCY AR
72143
US

IV. Provider business mailing address

3214 EAST RACE AVE
SEARCY AR
72143
US

V. Phone/Fax

Practice location:
  • Phone: 501-278-3155
  • Fax: 501-278-3318
Mailing address:
  • Phone: 501-278-3155
  • Fax: 501-278-3318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberAR4452
License Number StateAR

VIII. Authorized Official

Name: MR. LOREN J MILLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 501-278-3156