Organization
ARKANSAS CHILDRENS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL M HUDGENS (VICE PRESIDENT)
(501) 364-1079
Entity
Organization
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-2526
(501) 364-2438
Mailing address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-2526
(501) 364-2438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3693
AR
1223G0001X
General Practice Dentistry
3693
AR
1223P0221X
Pediatric Dentistry
3693
AR
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043300
MEDICARE
AR
Enumeration date
01/27/2011
Last updated
10/18/2018
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