Organization
UNITED METHODIST BEHAVIORAL HEALTH SYSTEM, INC
Active
Other names
Methodist Behavioral Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLEY DON COLE (CFO)
(501) 661-0720
Entity
Organization
Contact information
Practice address
1601 MURPHY DRIVE, MAUMELLE, AR 72113
(501) 803-3388
(501) 803-4272
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
AR4089
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14017
BLUE CROSS BLUE SHIELD
AR
05
—
145121125
—
AR
Enumeration date
05/24/2005
Last updated
04/07/2016
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