Organization
BAPTIST HEALTH
Active
Other names
BAPTIST HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA FAGAN (DIRECTOR OF BUSINESS OPERATIONS)
(501) 202-7480
Entity
Organization
Contact information
Practice address
3050 TWIN RIVERS DR, ARKADELPHIA, AR 71923-4218
(870) 245-1040
Mailing address
11001 EXECUTIVE CENTER DR STE 300, LITTLE ROCK, AR 72211-4300
(501) 202-7480
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
AR3838
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11554
BCBS PROVIDER NUMBER
AR
05
—
130371747
—
AR
Enumeration date
09/13/2006
Last updated
06/17/2024
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