Organization
ACH PHYSICIAN CONTRACTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL HUDGENS (VICE PRESIDENT)
(501) 364-1079
Entity
Organization
Contact information
Practice address
800 MARSHALL ST, LITTLE ROCK, AR 72202-3510
(501) 364-2526
Mailing address
PO BOX 8088, SLOT 664, LITTLE ROCK, AR 72203-8088
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
811
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154297002
—
AR
Enumeration date
08/03/2006
Last updated
06/16/2008
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