MEDICARE: BAPTIST HEALTH

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	224Z00000X	Occupational Therapy Assistant
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1811048119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HEALTH

Provider Business Mailing Address
First Line	:	9601 BAPTIST HEALTH DRIVE
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72205
Country	:	US
Telephone Number	:	501-202-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 MARION ST
Second Line	:	SUITE 102
City	:	SEARCY
State	:	AR
Zip	:	72143-4832
Country	:	US
Telephone Number	:	501-268-2250
Fax Number	:

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

Provider Enumeration Date	:	01/15/2007
Last Update Date	:	10/28/2015

Similar Medicare Providers

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1871839613 — WHITE COUNTY MEDICAL CENTER
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1033530605 — BRANDON T DODDS PA-C
Practice Location Address:

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Directions to “BAPTIST HEALTH ” Practice Location

Language	Start Address	Practice Location

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