Organization
BAPTIST HEALTH
Active
Other names
BAPTIST HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-7480
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 202-7480
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR3913
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11520
BCBS PROVIDER NUMBER
AR
05
—
126783747
—
AR
Enumeration date
09/07/2006
Last updated
03/13/2024
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