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
273R00000X
Psychiatric Hospital Unit
AR3795
AR
273R00000X
Psychiatric Hospital Unit
Primary
AR4519
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128360105
—
AR
01
—
1S074
BLUE CROSS AR
AR
Enumeration date
08/30/2006
Last updated
03/25/2015
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