| Allegiance Hospital Of North Little Rock, Llc | |
|
1400 Braden St. Jacksonville AR 72076 | |
| (501) 985-7000 | |
| (501) 985-7247 |
| Full Name | Allegiance Hospital Of North Little Rock, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1400 Braden St., Jacksonville, Arkansas |
| Authorized Official Name and Position | Cindy Stafford (CEO) |
| Authorized Official Contact | 5019857000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allegiance Hospital Of North Little Rock, Llc Po Box 159 Jacksonville AR 72078-0159 Ph: (501) 985-7000 | Allegiance Hospital Of North Little Rock, Llc 1400 Braden St. Jacksonville AR 72076 Ph: (501) 985-7000 |
| NPI Number | 1912017815 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912017815 | NPI | - | NPPES |
| 1S074 | Other | AR | BLUE CROSS AR |
| 128360105 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | AR3795 (Arkansas) | Secondary |
| 273R00000X | Psychiatric Unit | AR4519 (Arkansas) | Primary |
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