Arkansas Children'S Hospital
Organization Active NPI Pediatrics Physician · Pine Bluff, AR
NPI 1972189694 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1972189694
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- ARKANSAS CHILDREN'S HOSPITAL
- Practice address
- 1500 West 42ND Avenue
Pine Bluff, AR 71603-7006 - Phone
- (501) 364-2526
- Fax
- (501) 364-2438
- NPI assigned
- Mar 23, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- ARKANSAS CHILDREN'S HOSPITAL
Authorized official
- Name
- Sheryl Phillips
- Title
- Sr. Billing/Systems Manager
- Phone
- (501) 364-2526
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Arkansas Childrens HSP-ESRD
- Part of
- Arkansas Childrens HSP-ESRD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
1500 West 42ND Avenue
Pine Bluff, AR 71603-7006
Mailing address
1 Childrens Way # 664
Little Rock, AR 72202-3500
Phone (501) 364-2526
Other names
- Arkansas Children's Hospital Pine Bluff Clinic
Other providers in Pine Bluff, AR
- Arkansas
- Arkansas Cancer Clinic - Radiation Oncology, PA
- Arkansas Cancer Clinic PA
- Arkansas Cancer Clinic, PA
- Arkansas Center for Women, LTD
- Arkansas Foot & Ankle Clinic, PA
- Arkansas Medical Center
- Arkansas Nephrology & Hypertension Clinic PA
- Arkansas Surgery & Endoscopy Center
- Rusty Armstrong
All providers in Pine Bluff, AR · Pediatrics Physician 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 23, 2021. 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.