MEDICARE: QHG OF SPRINGDALE 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
1	261Q00000X	Clinic/Center	4141	AR

General Provider Information

NPI Number	:	1518918515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QHG OF SPRINGDALE INC

Provider Business Mailing Address
First Line	:	PO BOX 7360
Second Line	:
City	:	SPRINGDALE
State	:	AR
Zip	:	72766-7360
Country	:	US
Telephone Number	:	479-553-1000
Fax Number	:	479-553-1900

Provider Business Practice Location Address
First Line	:	1801 FOREST HILLS BLVD
Second Line	:	SUITE 6201
City	:	BELLA VISTA
State	:	AR
Zip	:	72715-3016
Country	:	US
Telephone Number	:	479-553-1000
Fax Number	:	479-553-1900

Authorized Official
Title or Position	:	SENIOR VICE PRESIDENT
Name	:	REBECCA HURLEY
Credential	:
Telephone Number	:	214-473-7000

Provider Enumeration Date	:	05/14/2006
Last Update Date	:	08/22/2020

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