Organization
ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
Active
Other names
North Metro Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY STAFFORD (CEO)
(501) 985-7035
Entity
Organization
Contact information
Practice address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 975-7264
Mailing address
1400 BRADEN ST, JACKSONVILLE, AR 72076-3721
(501) 985-7000
(501) 975-7264
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128655002
—
AR
01
—
57960
BLUE CROSS PROVIDER #
AR
Enumeration date
05/22/2007
Last updated
08/29/2014
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