Provider Demographics
NPI:1003994302
Name:BAPTIST HEALTH HOSPITALS
Entity Type:Organization
Organization Name:BAPTIST HEALTH HOSPITALS
Other - Org Name:BAPTIST MEDICAL CENTER STUTTGART SWING BED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. VICE PRESIDENT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-202-1542
Mailing Address - Street 1:1703 N BUERKLE STREET
Mailing Address - Street 2:
Mailing Address - City:STUTTGART
Mailing Address - State:AR
Mailing Address - Zip Code:72160-3153
Mailing Address - Country:US
Mailing Address - Phone:870-673-3511
Mailing Address - Fax:870-672-6869
Practice Address - Street 1:1703 N BUERKLE STREET
Practice Address - Street 2:
Practice Address - City:STUTTGART
Practice Address - State:AR
Practice Address - Zip Code:72160-3153
Practice Address - Country:US
Practice Address - Phone:870-673-3511
Practice Address - Fax:870-672-6869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARAR4534275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR100904105Medicaid
AR04U072Medicare Oscar/Certification
04U072Medicare Oscar/Certification