Organization
ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
Active
Other names
North Metro Medical Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY STAFFORD (CEO)
(501) 985-7000
Entity
Organization
Contact information
Practice address
1400 BRADEN ST., JACKSONVILLE, AR 72076
(501) 985-7000
(501) 985-7247
Mailing address
PO BOX 159, JACKSONVILLE, AR 72078-0159
(501) 985-7000
(501) 985-7247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
AR3301
AR
251E00000X
Home Health Agency
Primary
AR4305
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129068514
BLUE CROSS PROVIDER
AR
05
—
129068514
—
AR
Enumeration date
07/17/2006
Last updated
03/25/2015
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