MEDICARE: ARKANSAS CHILDRENS HOSPITAL

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	261QC0050X	Critical Access Hospital Clinic/Center
2	282NC2000X	Children's Hospital

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	043300	OTHER	AR	MEDICARE

General Provider Information

NPI Number	:	1194776757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARKANSAS CHILDRENS HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 959794
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-9794
Country	:	US
Telephone Number	:	501-364-2526
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 CHILDRENS WAY
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-3500
Country	:	US
Telephone Number	:	501-364-2526
Fax Number	:

Authorized Official
Title or Position	:	AR CONTROL MANAGER
Name	:	SHERYL PHILLIPS
Credential	:
Telephone Number	:	501-364-2526

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/21/2026

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Directions to “ARKANSAS CHILDRENS HOSPITAL ” Practice Location

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