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NPI Code Detail

MEDICARE: UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC

MEDICARE: UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1283Q00000XPsychiatric HospitalAR4089AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214017OTHERARBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1063415800
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Provider Business Mailing Address
First Line : 1600 ALDERSGATE RD STE 200
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-6676
Country : US
Telephone Number : 501-661-0720
Fax Number : 501-325-7938
Provider Business Practice Location Address
First Line : 1601 MURPHY DR
Second Line :
City : MAUMELLE
State : AR
Zip : 72113-6187
Country : US
Telephone Number : 501-803-3388
Fax Number : 501-803-4272
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : LARRY BLAKE MORGAN
Credential :
Telephone Number : 501-661-0720
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/28/2026

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Directions to “UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC ” Practice Location

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