Organization · NPI-2

Baptist Health

Family Medicine, Hospice and Palliative Medicine · Little Rock, AR

NPI number1659971505
StatusActive
Last updated in NPPESJun 17, 2024

Details

NPI
1659971505
Entity type
Organization (NPI-2)
Legal business name
Baptist Health
Organization subpart
No
Enumeration date
Oct 29, 2020
Certification date
Jun 17, 2024
Last updated
Jun 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QH0002X Family Medicine, Hospice and Palliative Medicine––Yes
2278P3800X Respiratory Therapist, Certified, Palliative/Hospice––

Other names

  • Baptist Health Supportive Care At Home (Doing Business As)

Practice location

11900 Colonel Glenn Rd Ste 2000
Little Rock, AR 72210-2829

Phone 501-202-6043 · Fax 501-202-7793

Mailing address

11001 Executive Center Dr Ste 300
Little Rock, AR 72211-4300

Phone 501-202-7474 · Fax 501-202-7793

Authorized official

Troy Wells
President
5012022080

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