MEDICARE: BAPTIST HEALTH HOSPITALS

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	261QR1300X	Rural Health Clinic/Center		AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295932820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HEALTH HOSPITALS

Provider Business Mailing Address
First Line	:	11001 EXECUTIVE CENTER DRIVE
Second Line	:	SUITE 200
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-4393
Country	:	US
Telephone Number	:	501-812-7800
Fax Number	:	501-812-7777

Provider Business Practice Location Address
First Line	:	1703 SOUTH WHITEHEAD DRIVE
Second Line	:
City	:	DEWITT
State	:	AR
Zip	:	72042-2911
Country	:	US
Telephone Number	:	870-946-0300
Fax Number	:	870-946-0303

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TROY WELLS
Credential	:
Telephone Number	:	501-202-2080

Provider Enumeration Date	:	06/28/2007
Last Update Date	:	04/02/2025

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Directions to “BAPTIST HEALTH HOSPITALS ” Practice Location

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