Organization
MEDICAL PARK PODIATRY CLINIC
Active
Parent organization
SIGNATURE MEDICAL PARK HOSPITAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE MEDICAL PARK HOSPITAL, LLC
Authorized official
TED CHEEK (CHIEF EXECUTIVE OFFICER)
(870) 722-2402
Entity
Organization
Contact information
Practice address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 722-2416
Mailing address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 722-2416
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4348
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10091
BLUE CROSS
AR
05
—
160081105
—
AR
Enumeration date
09/25/2008
Last updated
09/25/2008
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