Organization
VAN BUREN HMA LLC
Active
Other names
Sparks Medical Center- Van Buren
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
E MAIN & SOUTH 20TH STREETS, VAN BUREN, AR 72957
(479) 471-4300
(479) 474-0113
Mailing address
E MAIN & SOUTH 20TH STREETS, VAN BUREN, AR 72957
(479) 474-3401
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4281
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10018
BLUE CROSS
AR
05
—
101870105
—
AR
Enumeration date
06/13/2006
Last updated
08/22/2017
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