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NPI 1659971505 · live from the CMS NPI Registry

Baptist Health

Family Medicine, Hospice and Palliative Medicine in Little Rock, AR. National Provider Identifier 1659971505, active.

NPI record

NPI1659971505 Type 2 · organization
StatusActive
Primary specialtyFamily Medicine, Hospice and Palliative Medicine 207QH0002X
Practice location11900 Colonel Glenn Rd Ste 2000, Little Rock, AR 72210
Practice phone501-202-6043
Mailing address11001 Executive Center Dr Ste 300, Little Rock, AR 72211
EnumeratedOctober 29, 2020
Last updatedJune 17, 2024
Authorized officialTroy Wells, President
Other namesBaptist Health Supportive Care At Home

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine, Hospice and Palliative Medicine primary207QH0002X—
Respiratory Therapist, Certified, Palliative/Hospice2278P3800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.