Organization
BAPTIST HEALTH
Active
Other names
Baptist Health Supportive Care At Home
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
11900 COLONEL GLENN RD STE 2000, LITTLE ROCK, AR 72210-2829
(501) 202-6043
(501) 202-7793
Mailing address
11001 EXECUTIVE CENTER DR STE 300, LITTLE ROCK, AR 72211-4300
(501) 202-7474
(501) 202-7793
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
2278P3800X
Palliative/Hospice Certified Respiratory Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126783747
—
AR
Enumeration date
10/29/2020
Last updated
06/17/2024
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