MEDICARE: LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION

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
1	282N00000X	General Acute Care Hospital	2393	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11511	OTHER	AR	BCBS- HOSPICE
2	10132	OTHER	AR	BCBS PROV#
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124021811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	300 PROSPECT AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-4003
Country	:	US
Telephone Number	:	501-624-1281
Fax Number	:	501-622-3343

Provider Business Practice Location Address
First Line	:	300 PROSPECT AVE
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-4003
Country	:	US
Telephone Number	:	501-624-1281
Fax Number	:	501-622-3343

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MR. ZANE JEFFERS
Credential	:
Telephone Number	:	501-624-1281

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	12/12/2024

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Directions to “LEO N LEVI MEMORIAL HOSPITAL ASSOCIATION ” Practice Location

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