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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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