Organization
BAPTIST HEALTH
Active
Other names
BAPTIST HOME HEALTH NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA FAGAN (DIRECTOR OF BUSINESS OPERATIONS)
(501) 202-7480
Entity
Organization
Contact information
Practice address
1709 W MAIN ST, HEBER SPRINGS, AR 72543-2835
(501) 206-0025
Mailing address
11001 EXECUTIVE CENTER DR STE 300, LITTLE ROCK, AR 72211-4300
(501) 202-7480
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
AR4203
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130611514
—
AR
01
—
17097
BCBS PROVIDER NUMBER
AR
Enumeration date
09/12/2006
Last updated
06/17/2024
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