Provider Demographics
NPI:1427366368
Name:ARKANSAS CHILDREN'S HOSPITAL HEARING AID
Entity Type:Organization
Organization Name:ARKANSAS CHILDREN'S HOSPITAL HEARING AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT - PATIENT ACCOUNTS
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDGENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-364-1079
Mailing Address - Street 1:1 CHILDRENS WAY
Mailing Address - Street 2:SLOT 664
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-3500
Mailing Address - Country:US
Mailing Address - Phone:501-364-2530
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS WAY
Practice Address - Street 2:SLOT 664
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72202-3500
Practice Address - Country:US
Practice Address - Phone:501-364-2530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment