Organization
SOUTHWEST EMERGENCY ASSOCIATES
Active
Other names
HMA SOUTHWEST REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY FODY (CEO)
(501) 455-7100
Entity
Organization
Contact information
Practice address
2909 MILITARY RD, BENTON, AR 72015-2721
(501) 315-6500
(501) 315-0006
Mailing address
11401 INTERSTATE 30, LITTLE ROCK, AR 72209-7042
(501) 455-7100
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5C091
BCBS
AR
Enumeration date
07/06/2006
Last updated
08/22/2020
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