Organization
BAPTIST HEALTH
Active
Organization
BAPTIST HEALTH
Active
Other names
Baptist Medical Center ESRD
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESDIENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DRIVE, LITTLE ROCK, AR 72205
(501) 202-2080
(501) 202-1722
Mailing address
9601 BAPTIST HEALTH DRIVE, LITTLE ROCK, AR 72205
(501) 202-2080
(501) 202-1722
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
AR3782
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104304105
—
AR
Enumeration date
07/03/2006
Last updated
10/15/2015
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