Organization
ST. MARY - ROGERS MEMORIAL HOSPITAL DBA FRIENDS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH C ROBINSON (CHIEF FINANCIAL OFFICER)
(479) 936-2843
Entity
Organization
Contact information
Practice address
1200 W WALNUT ST, ROGERS, AR 72756-3546
(479) 636-0200
(479) 986-3469
Mailing address
1200 W WALNUT ST, ROGERS, AR 72756-3546
(479) 636-0200
(479) 986-3469
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
040
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866460
—
OH
05
—
0987149
—
IA
05
—
1765261
—
LA
05
—
95007597
—
CO
Enumeration date
04/18/2006
Last updated
08/22/2020
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