Organization
BAPTIST HEALTH
Active
Other names
BMC Physician Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL D. HARRINGTON (CEO/PRESIDENT)
(501) 202-2274
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
204F00000X
Transplant Surgery Physician
AR3886
AR
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
AR3886
AR
207RC0000X
Cardiovascular Disease Physician
Primary
AR3886
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104283002
—
AR
01
—
57520
AR BLUE CROSS PROVIDER NU
AR
Enumeration date
07/03/2006
Last updated
10/28/2015
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