Organization
SILOAM SPRINGS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PENNY MCCLAIN (CHIEF EXECUTIVE OFFICER)
(479) 549-2402
Entity
Organization
Contact information
Practice address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2645
Mailing address
205 E JEFFERSON ST, SILOAM SPRINGS, AR 72761-3629
(479) 524-4141
(479) 549-2645
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
54
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001
BLUE CROSS FACILITY
—
01
—
56886
BLUE CROSS PHYSICIANS
—
Enumeration date
07/11/2005
Last updated
08/22/2020
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