Healthcare Provider Details

I. General information

NPI: 1851761837
Provider Name (Legal Business Name): BAPTIST HEALTH HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2015
Last Update Date: 10/05/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 N BUERKLE ST
STUTTGART AR
72160-3153
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR
LITTLE ROCK AR
72205-6321
US

V. Phone/Fax

Practice location:
  • Phone: 870-673-3511
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number
License Number State

VIII. Authorized Official

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