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Organization
ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
Active
Organization
ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
Active
Other names
North Metro Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY STAFFORD (CEO)
(501) 985-7035
Entity
Organization
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 975-7264
Mailing address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 975-7264
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128655002
—
AR
01
—
57960
BLUE CROSS PROVIDER #
AR
Enumeration date
05/22/2007
Last updated
08/29/2014
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