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Organization

MEDICAL PARK ANESTHESIA

Active
Parent organization
SIGNATURE MEDICAL PARK HOSPITAL,LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIGNATURE MEDICAL PARK HOSPITAL,LLC
Authorized official
TED CHEEK (CHIEF EXECUTIVE OFFICER)
(870) 722-2402
Entity
Organization

Contact information

Practice address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 722-2416
(870) 722-7278
Mailing address
2001 S MAIN ST, HOPE, AR 71801-8124
(870) 722-2416
(870) 722-7278

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AR4348
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10091
BLUE CROSS
AR
05
160081105
AR
Enumeration date
04/09/2009
Last updated
04/09/2009
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