# CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164752994
- **Authorized official:** MR. SHAWN BARNETT (CFO)
- **Authorized official phone:** (501) 609-2229

## Contact information

- **Practice address:** 320 LUZERNE ST, MOUNT IDA, AR 71957-9437
- **Practice address phone:** (870) 867-2175
- **Practice address fax:** (870) 867-4050
- **Mailing address:** PO BOX 21850, HOT SPRINGS, AR 71903-1850
- **Mailing address phone:** (501) 627-1800
- **Mailing address fax:** (501) 627-1899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/29/2009
- **Last updated:** 03/02/2020