Allegiance Hospital of North Little Rock, LLC
Organization Active NPI General Acute Care Hospital · Jacksonville, AR
NPI 1861451114 · NPPES record last updated Mar 25, 2015
Key facts
- NPI
- 1861451114
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- AR4519 (AR)
- Legal business name
- ALLEGIANCE HOSPITAL OF NORTH LITTLE ROCK, LLC
- Practice address
- 1400 Braden St.
Jacksonville, AR 72076 - Phone
- (501) 985-7000
- Fax
- (501) 985-7247
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
Authorized official
- Name
- Cindy Stafford
- Title
- Ceo
- Phone
- (501) 985-7000
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | AR3795 | AR | |
| General Acute Care Hospital | 282N00000X | AR4519 | AR | Yes |
Addresses
Primary practice location
1400 Braden St.
Jacksonville, AR 72076
Mailing address
PO Box 159
Jacksonville, AR 72078-0159
Phone (501) 985-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10074 | Other | AR | BLUE CROSS PROVIDER # |
| 128360105 | Medicaid | AR |
Other names
- North Metro Medical Center
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All providers in Jacksonville, AR · General Acute Care Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.