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	283Q00000X	Psychiatric Hospital
2	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1568548253
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 & CEO
Name	:	MR. ZANE JEFFERS
Credential	:
Telephone Number	:	501-622-3497

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/12/2024

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