Arkansas Children'S Hospital

Organization Active NPI Children's Hospital · Little Rock, AR

NPI 1477561983 · NPPES record last updated Nov 19, 2013

Key facts

NPI
1477561983
Entity type
Organization (NPI type 2)
Primary specialty
Children's Hospital 282NC2000X
License
811 (AR)
Legal business name
ARKANSAS CHILDREN'S HOSPITAL
Practice address
1 Childrens Way
Slot 664
Little Rock, AR 72202-3500
Phone
(501) 364-2526
NPI assigned
Aug 3, 2006
Organization subpart
Yes
Parent organization (as reported)
ARKANSAS CHILDREN'S HOSPITAL

Authorized official

Name
Carol Hudgens
Title
Vice President - Patient Accounts
Phone
(501) 364-1079

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 945

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 945

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20131118001613 AR DME Supplier - Hospital
DME Supplier - Orthotic Personnel
DME Supplier - Pedorthic Personnel
DME Supplier - Prosthetic Personnel
2769477744 Practice locations: Little Rock, AR

National Provider Directory

Tax ID family
Arkansas Childrens HSP-ESRD (15 organizations share this tax ID)
Part of
Arkansas Childrens HSP-ESRD

Locations

520 Carson St
Jonesboro, AR 72401
Phone (870) 336-2175

1201 Bishop St
Little Rock, AR 72202
Phone (501) 364-6601

9015 Dailey Dr
Little Rock, AR 72209
Phone (501) 364-6560

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 811 AR Yes

Addresses

Primary practice location

1 Childrens Way
Slot 664
Little Rock, AR 72202-3500

Mailing address

PO Box 8088
Slot 664
Little Rock, AR 72203-8088

Other identifiers

IdentifierTypeStateIssuer
118499716MedicaidAR

Other providers in Little Rock, AR

All providers in Little Rock, AR · Children's Hospital in Arkansas

Sources for this page

Verify at the official NPI Registry.