Organization
COMPLETE HEALTH WITH PACE
Active
Parent organization
BAPTIST HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HEALTH
Authorized official
ROBERT ROBERTS (VP AND CFO OF BAPTIST HEALTH)
(501) 202-1542
Entity
Organization
Contact information
Practice address
2100 PIKE AVE, NORTH LITTLE ROCK, AR 72114-2604
(501) 376-8852
(501) 978-2801
Mailing address
2100 PIKE AVE, NORTH LITTLE ROCK, AR 72114-2604
(501) 376-8852
(501) 978-2801
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
H6342
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16PACE1
—
AR
Enumeration date
03/28/2016
Last updated
03/30/2016
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