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) 985-7000
Entity
Organization
Contact information
Practice address
1400 BRADEN ST., JACKSONVILLE, AR 72076
(501) 985-7000
(501) 985-7247
Mailing address
PO BOX 159, JACKSONVILLE, AR 72078-0159
(501) 985-7000
(501) 985-7247
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
AR3795
AR
282N00000X
General Acute Care Hospital
Primary
AR4519
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10074
BLUE CROSS PROVIDER #
AR
05
—
128360105
—
AR
Enumeration date
03/23/2006
Last updated
03/25/2015
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